Individual provider Active NPI

Casey Jones Harrison

  • Optometrist
  • Elizabethton, TN
National Provider Identifier
1992435010
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3786 Issued in TN
Practice address
210 Rogosin Dr
Elizabethton, TN 37643-2906
Phone
(423) 543-6868
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3786 TN Primary

Addresses

Primary practice location

210 Rogosin Dr
Elizabethton, TN 37643-2906

Mailing address

210 Rogosin Dr
Elizabethton, TN 37643-2906
Phone (423) 543-6868

Other practice location 1

2003 N Eastman Rd Ste 34
Kingsport, TN 37660-4636
Phone (423) 408-6134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125000417 TN Practitioner - Optometry 3375911316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Eye Care, PCGroup PAC ID 4082846332, 4 clinicians

Practice addresses (Care Compare)

210 Rogosin Dr
Elizabethton, TN 37643-2906
Phone (423) 543-6868

302 Sunset Dr
Suite 109
Johnson City, TN 37604-2408
Phone (423) 282-1742

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tammy Holsclaw-Jones OD PLLC Optometrist CurrentSince Jan 9, 2023 Accepting new patients
Sunset Eye Care PC Optometrist CurrentSince Jun 19, 2025 Accepting new patients
Dr Richard a Rosenberg, OD Optometrist Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

210 Rogosin Dr
Elizabethton, TN 37643
Phone (423) 543-6868

302 Sunset Dr
Ste 109
Johnson City, TN 37604
Phone (423) 282-1742

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1992435010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ROGOSIN DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432906",
            "telephone_number": "423-543-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ROGOSIN DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432906",
            "telephone_number": "423-543-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 N Eastman Rd Ste 34",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604636",
            "country_code": "US",
            "telephone_number": "423-408-6134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CASEY",
        "middle_name": "JONES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.