20/20 OPTICAL LLC (NPI# 1093975021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093975021 |
| Entity Type | Organization |
| Organization Name | 20/20 OPTICAL LLC |
| Practice Address |
7268 Jarnigan Rd Suite 304 Chattanooga TN 37421-3096 |
| Practice Telephone | 4238993930 |
| Practice Fax Number | 4238991590 |
| Mailing Telephone | 4238993930 |
| Mailing Fax Number | 4238991590 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | MR. GENE A WILLIFORD (MANAGER) |
| Authorized Official Telephone | 4238993930 |
| Authorized Official Credential | D.PO. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | TN0291 | TN | Suppliers |
| Street Address |
7268 JARNIGAN RD SUITE 304 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557148 | Daryl Francis Mann | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2005-06-09 |
| 1548719503 | Paige Thompson | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3096 | 2016-09-30 |
| 1922557032 | Spencer Sechler | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3096 | 2016-09-30 |
| 1942675954 | Rachel Lusk | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2015-12-02 |
| 1013305275 | Rachel L Brown | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2014-12-22 |
| 1992100390 | Reed B Parker | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2014-10-28 |
| 1780017483 | Luckson Previl | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2013-08-16 |
| 1184853947 | Thomas Peterson Lindquist | Ophthalmology | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2009-07-14 |
| 1588899488 | Carolee Marie Cutler Peck | Ophthalmology | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2009-05-20 |
| 1871748715 | Leslie Ann Phillips | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425038 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404-1130 | 2020-04-08 |
| 1790314128 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2200 E 3rd St Ste 100, Chattanooga, TN 37404-2724 | 2020-04-07 |
| 1891248092 | Galen Medical Group PC | Non-Pharmacy Dispensing Site | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2016-07-25 |
| 1134251093 | Williford Optical, Inc. | Non-Pharmacy Dispensing Site | 1949 Gunbarrel Rd, Suite 110, Chattanooga, TN 37421-3188 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181160 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 4220 Harding Pike Bldg Ste200, Nashville, TN 37205-2005 | 2020-07-09 |
| 1144849050 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 1750 Cedar Ln Ste 200, Tullahoma, TN 37388-4761 | 2020-04-10 |
| 1720607625 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 3443 Dickerson Pike Ste 760, Nashville, TN 37207-2527 | 2020-04-10 |
| 1710516901 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 504 22nd Ave E, Springfield, TN 37172-3754 | 2020-04-08 |
| 1700415981 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2121 N Locust Ave Ste 2, Lawrenceburg, TN 38464-4454 | 2020-04-08 |
| 1922634575 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 2252 Lamar Ave, Memphis, TN 38114-6608 | 2020-03-16 |
| 1144855073 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 776 Weatherly Dr Ste A, Clarksville, TN 37043-8941 | 2020-03-11 |
| 1407481567 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 5073 Main St Ste 210, Spring Hill, TN 37174-2738 | 2020-03-10 |
| 1659906709 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 103 Physicians Way Ste 102, Lebanon, TN 37090-4132 | 2020-03-10 |
| 1346875309 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 353 New Shackle Island Rd Ste 204a, Hendersonville, TN 37075-2371 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on 20/20 OPTICAL LLC.
| 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.