{"npi":"1306014378","type":"NPI-2","status":"active","name":{"display":"Eye Centers Of Tennessee, LLC","other":[],"organization_name":"EYE CENTERS OF TENNESSEE, LLC","authorised_official":"Tina Breeding"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":false,"state":"TN","license":"MD16334"},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":"TN","license":"MD9365"},{"code":"152W00000X","description":"Optometrist","primary":true,"state":"TN","license":"OD3109"}]},"addresses":[{"purpose":"LOCATION","street_1":"220 N CHANCERY ST","city":"MC MINNVILLE","state":"TN","postal_code":"371102551","country_code":"US","phone":"9314732487","fax":"9314738782"},{"purpose":"MAILING","street_1":"15 IRIS LN","city":"CROSSVILLE","state":"TN","postal_code":"385557528","country_code":"US","phone":"9314562728","fax":"9314565446"}],"license":{"state":"TN","number":"OD3109"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q008842","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20141010002188","type_code":"30-18","type_desc":"DME SUPPLIER - PHYSICIAN - OPHTHALMOLOGY","state":"TN","pac_id":"1355379256"}]},"enumeration_date":"2008-02-13","last_updated":"2021-04-26","_meta":{"source":"NPPES","snapshot_date":"2021-04-26","doc_url":"https://findmynpi.com/api"}}