Organization Active NPI

Northwest Tennessee Eye Clinic, PC

  • Optometrist
  • Martin, TN
National Provider Identifier
1992103253
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TN1767 Issued in TN
Legal business name
NORTHWEST TENNESSEE EYE CLINIC, PC
Practice address
111 Highway 431
Martin, TN 38237-8264
Phone
(731) 587-2022
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Frances Dickson BynumNPI 1982691812
Title
Owner
Phone
(731) 587-2022

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TN1767 TN Primary

Addresses

Primary practice location

111 Highway 431
Martin, TN 38237-8264

Mailing address

111 Highway 431
Martin, TN 38237-8264
Phone (731) 587-2022

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1992103253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 431",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382378264",
            "telephone_number": "731-587-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 431",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382378264",
            "telephone_number": "731-587-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TENNESSEE EYE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "DICKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-587-2022"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN1767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.