Northshore Specialty Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTHSHORE SPECIALTY EYECARE PLLC

Practice address

2053 Thunderhead Rd
Knoxville, TN 37922-9488

Phone

(865) 288-4449

Fax

(865) 288-4451

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lacey Dillard Puckett, ODNPI 1053424457

Title

Owner/Doctor

Phone

(865) 288-4449

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eyes on Northshore2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northshore Specialty Eyecare PLLC

  dba eyes on northshore

  • Optometrist
  • Knoxville, TN
  • NPI 1790320174
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lacey Dillard Puckett, O.D.

  • Optometrist
  • Knoxville, TN
  • NPI 1053424457
  NPD Authorized official
• Susan Carter, OD

  • Optometrist
  • Knoxville, TN
  • NPI 1538577747
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1982544300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 THUNDERHEAD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379229488",
            "telephone_number": "865-288-4449",
            "fax_number": "865-288-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 THUNDERHEAD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379229488",
            "telephone_number": "865-288-4449",
            "fax_number": "865-288-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE SPECIALTY EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-29",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "DILLARD",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "865-288-4449",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q057659",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northshore Chiropractic Clinic LLC
• Northshore Dental Arts LLC
• Northshore Endodontics PC
• Northshore Smiles Dentistry, PC (Northshore Smiles Dentistry)
• Northshore Specialty Eyecare PLLC (eyes on northshore)
• Northshore Urgent Care
• Northshore Urology LLC
• Northside Chiropractic
• Northstar LLC (Active)
• John Anthony Norton, OPTICIAN

• Optometrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.