OLD STAGE EYE CARE (NPI# 1386879716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386879716 |
| Entity Type | Organization |
| Organization Name | OLD STAGE EYE CARE |
| Practice Address |
15 Old Stage Rd Suite A Greeneville TN 37745-3117 |
| Practice Telephone | 4236398856 |
| Practice Fax Number | 4236398227 |
| Mailing Telephone | 4236398856 |
| Mailing Fax Number | 4236398227 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |
| Authorized Official Name | DR. JOHN KEVIN CLEMENT (OWNER) |
| Authorized Official Telephone | 4236398856 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODT 1457 | TN | Eye and Vision Services Providers |
| Street Address |
15 OLD STAGE RD SUITE A |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282417 | John Kevin Clement | Optometrist | 15 Old Stage Rd, Suite A, Greeneville, TN 37745-3078 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1588847834 | Greeneville Vision Center | Optometrist | 204 Emory Rd, Greeneville, TN 37745 | 2007-12-10 |
| 1750506127 | Tabitha D Combes | Optometrist | 1000 Tusculum Blvd Ste 4, Greeneville, TN 37745-4056 | 2007-04-13 |
| 1366572570 | Pete and Marietta Vestal Ptrs | Optometrist | 910 Tusculum Blvd Ste 2, Greeneville, TN 37745-4004 | 2007-03-06 |
| 1790848687 | Dale Brown Jr. | Optometrist | 318 Tusculum Blvd Ste 2, Greeneville, TN 37745-3926 | 2006-12-19 |
| 1497794184 | Robert Alan Helm | Optometrist | 3755 E Andrew Johnson Hwy, Greeneville, TN 37745-1078 | 2006-06-06 |
| 1740259571 | Nancy C. Norton | Optometrist | 1310 E Andrew Johnson Hwy, Greeneville, TN 37745-4270 | 2006-03-15 |
| 1992786420 | Marietta T Vestal | Optometrist | 910 Tusculum Blvd, Ste 2, Greeneville, TN 37745-4004 | 2005-11-10 |
| 1740282417 | John Kevin Clement | Optometrist | 15 Old Stage Rd, Suite A, Greeneville, TN 37745-3078 | 2005-08-12 |
| 1306468731 | Graham Taylor | Optometrist | 1310 E Andrew Johnson Hwy, Greeneville, TN 37745-4270 | 2020-05-07 |
| Find all providers in GREENEVILLE | ||||
| City | GREENEVILLE |
| Zip Code | 37745 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.