ANDREW R. SCHWICHTENBERG
NPI 1104017912
Optometrist in Johnson City, TN

Active since August 06, 2007
2829 E OAKLAND AVE STE 1, JOHNSON CITY, TN 37601(423) 283-4590(423) 283-0867 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Optometrist

About ANDREW R. SCHWICHTENBERG

This page provides the complete NPI Profile along with additional information for Andrew R. Schwichtenberg, a provider established in Johnson City, Tennessee operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1104017912 assigned on August 2007. The practitioner's primary taxonomy code is 152W00000X with license number ODT1154 (TN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Andrew R. Schwichtenberg O.d. (Owner)

NPI
1104017912 Verify this NPI
Provider Name
ANDREW R. SCHWICHTENBERG
Entity Type
Organization
Location Address
2829 E OAKLAND AVE STE 1 JOHNSON CITY, TN 37601
Location Phone
(423) 283-4590
Location Fax
(423) 283-0867
Mailing Address
2829 E OAKLAND AVE STE 1 JOHNSON CITY, TN 37601
Mailing Phone
(423) 283-4590
Mailing Fax
(423) 283-0867
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2007
Last Update Date
07-29-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
ODT1154
License State
TN
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ANDREW R. SCHWICHTENBERG O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(423) 283-4590

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0138990001MEDICARE NSC (07)TN 
3597385MEDICAID (05)TN 
3597385MEDICARE PIN (08)TN 
T61328MEDICARE UPIN (02) 
DT7841MEDICARE PIN (08) 
410028934MEDICARE PIN (08) 

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Optometrist
2829 E OAKLAND AVE STE 1
JOHNSON CITY, TN 37601
Optometrist
2829 E OAKLAND AVE STE 1
JOHNSON CITY, TN 37601
Optometrist
2829 E OAKLAND AVE STE 1
JOHNSON CITY, TN 37601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104017912, enumerated as an "organization" on August 06, 2007.

The provider is located at 2829 E OAKLAND AVE STE 1 JOHNSON CITY, TN 37601 and the phone number is (423) 283-4590.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.