Chattanooga Vision Center, PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CHATTANOOGA VISION CENTER, PLC

Practice address

2158 Northgate Park LN
Suite 302
Chattanooga, TN 37415-6957

Phone

(423) 870-4900

Fax

(423) 870-5889

NPI assigned

Feb 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas M Reynolds, M.D.NPI 1003815580

Title

President/Owner

Phone

(423) 870-4900

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas M Reynolds, M.D.

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1003815580
  Medicare reassignment Care Compare group NPD Authorized official
• Jon Caleb Hildebrand, MD

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1457748501
  Medicare reassignment Care Compare group NPD
• Matthew S. James, O.D.

  • Optometrist
  • Trussville, AL
  • NPI 1871568246

  TN

  Medicare reassignment Care Compare group NPD
• Lauren Goldsmith Windham, O.D.

  • Optometrist
  • McKinney, TX
  • NPI 1285946459

  TN

  Medicare reassignment Care Compare group NPD
• Courtney Webb Ridner, M.D.

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1346228426
  Medicare reassignment
• Fred Marshall Gregg III, M.D.

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1043394968
  NPD
• Stephen Brent Clark, O.D.

  • Optometrist
  • Rock Spring, GA
  • NPI 1952300832
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1982679296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN",
            "address_2": "SUITE 302",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156957",
            "telephone_number": "423-870-4900",
            "fax_number": "423-870-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN",
            "address_2": "SUITE 302",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156957",
            "telephone_number": "423-870-4900",
            "fax_number": "423-870-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA VISION CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "423-870-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3711088",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chatty Kids Pediatric Dentistry, LLC

• Ophthalmology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.