Organization Active NPI

Dr. Lacey D. Puckett & Associates, Inc

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1992977946
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. LACEY D. PUCKETT & ASSOCIATES, INC
Practice address
3001 Knoxville Center Dr
Suite 2294
Knoxville, TN 37924-5044
Phone
(865) 544-1677
Fax
(865) 525-3467
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Lacey D Puckett, OD
Title
President
Phone
(865) 544-1677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3001 Knoxville Center Dr
Suite 2294
Knoxville, TN 37924-5044

Mailing address

3001 Knoxville Center Dr
Suite 2294
Knoxville, TN 37924-5044
Phone (865) 544-1677

Other names 1

  • Dr. Lacey D. Puckett & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3001 Knoxville Center Dr
Ste 2294
Knoxville, TN 37924
Phone (865) 544-1677

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1992977946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KNOXVILLE CENTER DR",
            "address_2": "SUITE 2294",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379245044",
            "telephone_number": "865-544-1677",
            "fax_number": "865-525-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 KNOXVILLE CENTER DR",
            "address_2": "SUITE 2294",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379245044",
            "telephone_number": "865-544-1677",
            "fax_number": "865-525-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LACEY D. PUCKETT & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-544-1677",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Lacey D. Puckett & Associates",
            "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 Nov 13, 2017; 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.