BRADLEY JOHNSON LUTTRELL (NPI# 1508850298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508850298 |
| Entity Type | Individual |
| Full Name | BRADLEY JOHNSON LUTTRELL |
| Credential | MD |
| Practice Address |
90 Vermont Ave Oak Ridge TN 37830-6478 |
| Practice Telephone | 8654828890 |
| Practice Fax Number | 8654827400 |
| Mailing Telephone | 8654828890 |
| Mailing Fax Number | 8654827400 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD0000038353 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3891609 | 05 |
| Street Address |
90 VERMONT AVE |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-6478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991837 | Scott Lloyd Baer | Optometrist | 90 Vermont Ave, The Eye Center of Oak Ridge PC, Oak Ridge, TN 37830-6478 | 2005-09-07 |
| 1205459377 | Elick Jan Combs IIi | Optometrist | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2020-05-25 |
| 1164655205 | Natalie Lynn Frasier | Optometrist | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2009-08-24 |
| 1003044033 | Charles Daniel Benson | Orthopaedic Surgery | 90 Vermont Ave, Suite 300, Oak Ridge, TN 37830-6474 | 2009-06-29 |
| 1750560132 | Orthotennessee, PC | Durable Medical Equipment & Medical Supplies | 90 Vermont Ave, Suite 301, Oak Ridge, TN 37830-6474 | 2007-11-01 |
| 1184838344 | Tlc The Laser Center (tri-cities) Inc. | Clinic/Center | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-05-09 |
| 1619090370 | Thomas Lloyd Dahl Jr. | Ophthalmology | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-04-09 |
| 1518086396 | William F Robinson | Physical Therapist | 90 Vermont Ave, Suite 301, Oak Ridge, TN 37830-6474 | 2007-03-29 |
| 1972635910 | Eric Edward Speckner | Ophthalmology | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-03-12 |
| 1235201393 | Eye Center of Oak Ridge,pc | Optometrist | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2006-11-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982840302 | Eye Institute North, L.L.C. | Ophthalmology | 5677 Berkshire Valley Rd, Oak Ridge, NJ 07438-9821 | 2009-01-07 |
| 1427043751 | Francis Randolph Reid | Ophthalmology | 132 Amanda Dr, Oak Ridge, TN 37830 | 2005-09-13 |
| 1235332081 | Robert S Dotson, Md PC | Ophthalmology | 200 New York Ave, Suite 130, Oak Ridge, TN 37830-5212 | 2007-06-08 |
| 1619090370 | Thomas Lloyd Dahl Jr. | Ophthalmology | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-04-09 |
| 1972635910 | Eric Edward Speckner | Ophthalmology | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-03-12 |
| 1649351479 | Kathryn Renee Baker | Ophthalmology | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2006-10-18 |
| 1609860386 | Robert Earl Walker | Ophthalmology | 90 Vermont Ave, The Eye Center of Oak Ridge PC, Oak Ridge, TN 37830-6478 | 2005-09-08 |
| 1861486573 | Timothy Paul Powers | Ophthalmology | 90 Vermont Ave, The Eye Center of Oak Ridge PC, Oak Ridge, TN 37830-6478 | 2005-09-08 |
| 1083608905 | Lee Alan Smalley | Ophthalmology | 90 Vermont Ave, The Eye Center of Oak Ridge PC, Oak Ridge, TN 37830-6478 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184105272 | Blue Ridge Medical Management Corporation | Ophthalmology | 410 N State of Franklin Rd Ste 130b, Johnson City, TN 37604-6972 | 2018-08-27 |
| 1073966503 | Cataract and Eyecare Center,professional LLC | Ophthalmology | 10100 Ramsey Way, Dickson, TN 37055-1085 | 2016-07-20 |
| 1780034439 | Alina Lou | Ophthalmology | 2311 Pierce Avenue, Vanderbilt University Ophthalmology Residency Program, Nashville, TN 37232 | 2016-06-14 |
| 1447606454 | Stephen Dryden | Ophthalmology | 930 Madison Ave Ste 470, Memphis, TN 38103-7400 | 2016-05-09 |
| 1932568409 | Cool Springs Surgical Associates LLC | Ophthalmology | 2001 Mallory Ln Ste 105, Franklin, TN 37067-8220 | 2016-02-12 |
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1902291859 | Brent Aebi | Ophthalmology | 3185 W State St Ste 2010, Bristol, TN 37620-1600 | 2015-03-30 |
| 1487098927 | Christine Ann Rust | Ophthalmology | 1670 West Main St, Suite 100, Lebanon, TN 37087 | 2013-04-27 |
| 1134462450 | Andrew Gordon Meador | Ophthalmology | 1800 Church St Ste 100, Nashville, TN 37203-2233 | 2013-04-04 |
| 1407193337 | Daniel E. Bustos, M.d., P.C. | Ophthalmology | 1725 Medical Center Pkwy Ste 120, Murfreesboro, TN 37129-2248 | 2013-01-11 |
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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.