Active NPI
Low Vision Center, Inc.
- Low Vision Rehabilitation Optometrist
- Knoxville, TN
National Provider Identifier
1972773349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 1593OD
- Legal business name
- LOW VISION CENTER, INC.
- Practice address
- 1124 E Weisgarber Rd
Suite 204
Knoxville, TN 37909-2686 - Phone
- (865) 522-2449
- Fax
- (865) 522-6453
- NPI assigned
- Mar 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce D. Gilliland, O.D.
- Title
- President
- Phone
- (865) 522-2449
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1593OD | TN | Primary |
Addresses
Primary practice location
1124 E Weisgarber Rd
Suite 204
Knoxville, TN 37909-2686
Mailing address
1124 E Weisgarber Rd
Suite 204
Knoxville, TN 37909-2686
Phone (865) 522-2449
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE8160 | Other | RAILROAD MEDICARE | |
| 3943667 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
1124 E Weisgarber Rd
Ste 204
Knoxville, TN 37909
Phone (865) 522-2449
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Low Vision Rehabilitation Optometrist
- Knoxville, TN
- NPI 1184622441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1972773349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 E WEISGARBER RD",
"address_2": "SUITE 204",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092686",
"telephone_number": "865-522-2449",
"fax_number": "865-522-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 E WEISGARBER RD",
"address_2": "SUITE 204",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092686",
"telephone_number": "865-522-2449",
"fax_number": "865-522-6453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOW VISION CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-02",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "GILLILAND",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-522-2449",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "TN",
"license": "1593OD",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE8160",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3943667",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.