NPIMap

Organization Active NPI

Barnes Vision PLLC

  • Optometrist
  • Dandridge, TN
National Provider Identifier
1992938104
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2857 Issued in TN
Legal business name
BARNES VISION PLLC
Practice address
334 Highway 92 S
Ste 7
Dandridge, TN 37725-4571
Phone
(865) 397-9991
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Kyle Barnes, O.D.NPI 1982896593
Title
Member/Owner
Phone
(865) 397-9991

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 2857 TN Primary

Addresses

Primary practice location

334 Highway 92 S
Ste 7
Dandridge, TN 37725-4571

Mailing address

334 Highway 92 S
Ste 7
Dandridge, TN 37725-4571
Phone (865) 397-9991

Other names 1

  • Barnes Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100303000797 TN Part B Supplier - Clinic/Group Practice 3779628607 Receives reassigned benefits from 5 practitioners
Practice locations: Dandridge, TN

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

334 Highway 92 S
Ste 7
Dandridge, TN 37725
Phone (865) 397-9991

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1992938104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 HIGHWAY 92 S",
            "address_2": "STE 7",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254571",
            "telephone_number": "865-397-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 HIGHWAY 92 S",
            "address_2": "STE 7",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254571",
            "telephone_number": "865-397-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "865-397-9991",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnes Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dandridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.