JONESBOROUGH EYE CLINIC, PLLC (NPI# 1861728263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861728263 |
| Entity Type | Organization |
| Organization Name | JONESBOROUGH EYE CLINIC, PLLC |
| Practice Address |
395 Forest Cir Unit 120 Jonesborough TN 37659-1439 |
| Practice Telephone | 4237537760 |
| Practice Fax Number | 4237537466 |
| Mailing Telephone | 4237537760 |
| Mailing Fax Number | 4237537466 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | DR. KRISTEN BROOKE PUMPHREY (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 4237537760 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2691 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DMERC REGION C | 6363950001 | 01 |
| Street Address |
395 FOREST CIR UNIT 120 |
| City | JONESBOROUGH |
| State | TN |
| Zip Code | 37659-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578529699 | Angela M Snyder | Nurse Practitioner | 395 Forest Cir, Suite 100, Jonesborough, TN 37659-1447 | 2006-04-26 |
| 1558721902 | Carissa Chambers | Optometrist | 395 Forest Cir, Ste 120, Jonesborough, TN 37659-1449 | 2016-02-28 |
| 1255446076 | Kristen Pumphrey | Optometrist | 395 Forest Cir, Unit 120, Jonesborough, TN 37659-1439 | 2006-08-20 |
| 1972531044 | Blue Ridge Medical Management Corporation | Clinic/Center | 395 Forest Cir, Suite 100, Jonesborough, TN 37659-1439 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777669 | Megan Gilchrist | Pharmacist | 22 New Halifax St, Jonesborough, TN 37659 | 2020-07-15 |
| 1316414337 | Anna Brazell | Radiology | Lamont St and Veterans Way, Johnson City, TN 37659 | 2018-10-29 |
| 1952785081 | East Tennessee State University | Nurse Practitioner | 3261 Tn 81, Jonesborough, TN 37659 | 2015-07-18 |
| 1487907564 | Ashley Nugent Charfauros | Pharmacist | 1200 W. Jackson Blvd., Jonesborough, TN 37659 | 2012-10-26 |
| 1770871022 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 531 E Jackson Blvd, Jonesborough, TN 37659 | 2011-07-20 |
| 1548465784 | Cradic Chiropractic Center | Chiropractor | 206 Headtown Rd Suite 100, Jonesborough, TN 37659 | 2007-06-18 |
| 1265517197 | Jennie L. Walls | Nurse Practitioner | David Crockett High School Health Clinic, 684 Old State Route 34, Jonesborough, TN 37659 | 2006-10-26 |
| 1942262167 | Kenneth Weaver | Obstetrics & Gynecology | 1103 E Jackson Blvd, Ste 1, Jonesborough, TN 37659 | 2006-04-04 |
| 1326534082 | Hannah Ridley | Behavioral Analyst | 1015 Borowood Ct, Jonesborough, TN 37659 | 2018-07-06 |
| 1376044552 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 600 Boones Creek Rd, Jonesborough, TN 37659 | 2018-02-23 |
| Find all providers in zip 37659 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548302854 | Donelson Eyecare, Pllc | Optometrist | 2378 Lebanon Pike, Nashville, TN 37214-2411 | 2007-02-13 |
| 1790823201 | Mary K Conway | Optometrist | 7600 H Kingston Pike, Knoxville, TN 37919-5604 | 2007-02-05 |
| 1538215777 | Kevin Lee Johnson | Optometrist | 2021 Church St Ste 300, Baptist Hospital, Medical Plaza 2, Nashville, TN 37203-2051 | 2007-01-27 |
| 1114085701 | Drs. Shields and Shields | Optometrist | 10219 Kingston Pike, Ste 101, Knoxville, TN 37922-3222 | 2006-12-05 |
| 1841381118 | Warwick C Dell | Optometrist | 8151 Hixson Pike, Hixson, TN 37343-1801 | 2006-09-28 |
| 1710991872 | Steven R. Shum | Optometrist | 2109 West St, Suite 1, Germantown, TN 38138-3837 | 2006-07-27 |
| 1831124353 | Tom Kevin Flowers | Optometrist | 189 W University Pkwy Ste D, Jackson, TN 38305-1671 | 2006-07-12 |
| 1609806637 | Lina M Desai | Optometrist | 11232 W Point Dr, Suite A, Knoxville, TN 37934-2837 | 2006-07-04 |
| 1558306043 | Turner Vision of Tennessee, Psc | Optometrist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2006-06-18 |
| 1710920475 | Ultra Eyecare | Optometrist | 3460 Plaza Ave, Memphis, TN 38111-4614 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
| City | JONESBOROUGH |
| Zip Code | 37659 |
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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.