NPIMap

Organization Active NPI

Clancy Optical Company

  • Eyewear Supplier
  • Knoxville, TN
National Provider Identifier
1982764320
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
93733 Issued in TN
Legal business name
CLANCY OPTICAL COMPANY
Practice address
4620 Kingston Pike
Knoxville, TN 37919-5230
Phone
(865) 584-7739
Fax
(865) 584-3624
NPI assigned
Dec 8, 2006
Organization subpart
Yes
Parent organization
CLANCY OPTICAL COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Mr. Stephen P Clancy, OPTICIAN
Title
President
Phone
(865) 584-7739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 93733 TN Primary

Addresses

Primary practice location

4620 Kingston Pike
Knoxville, TN 37919-5230

Mailing address

4620 Kingston Pike
Knoxville, TN 37919-5230
Phone (865) 584-7739

Other identifiers 5

IdentifierTypeStateIssuer
45152OtherTNSPECTERA
702013204OtherTNCARITEN SENIOR HEALTH
TN1348OtherTNEYEMED PROVIDER#
CL1533258OtherTNCLARITY VISION PROVIDER #
0009543OtherTNBC BS OF TN PIN NUMBER

Other names 1

  • Spex Contemporary Eyewear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clancy Optical Company3 organizations share this tax ID, including this one
Part of
Clancy Optical Company

Other organizations with this tax ID 2

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

Locations

4620 Kingston Pike
Knoxville, TN 37919
Phone (865) 584-7739

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1982764320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195230",
            "telephone_number": "865-584-7739",
            "fax_number": "865-584-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195230",
            "telephone_number": "865-584-7739",
            "fax_number": "865-584-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLANCY OPTICAL COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLANCY OPTICAL COMPANY",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-584-7739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "93733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "45152",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN SENIOR HEALTH",
            "identifier": "702013204",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER#",
            "identifier": "TN1348",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION PROVIDER #",
            "identifier": "CL1533258",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF TN PIN NUMBER",
            "identifier": "0009543",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spex Contemporary Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 22, 2015; 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.