KNOXVILLE PEDIATRIC OPHTHALMOLOGY, PLLC
NPI 1174831887
Ophthalmology in Knoxville, TN

Q: What is Knoxville Pediatric Ophthalmology, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since September 15, 2010

2100 W CLINCH AVE, SUITE 400 KOPPEL PLAZA, KNOXVILLE, TN 37916(865) 521-7998(865) 521-7405 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Knoxville Pediatric Ophthalmology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNOXVILLE PEDIATRIC OPHTHALMOLOGY, PLLC (NPI 1174831887) is a healthcare organization registered as an ophthalmology in Knoxville, Tennessee and active in the NPI registry since September 2010. The organization lists Deborah F Stoffle, Office Admin, as its authorized official.

NPPES Registry Identity

NPI1174831887

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameKNOXVILLE PEDIATRIC OPHTHALMOLOGY, PLLC

Location Address2100 W CLINCH AVE, SUITE 400 KOPPEL PLAZAKnoxville, TN 37916-2219

Mailing Address2100 W Clinch Ave, Suite 400 Koppel PlazaKnoxville, TN 37916-2219 · (865) 521-7998 · Fax (865) 521-7405

Phone(865) 521-7998

Fax(865) 521-7405

Organization SubpartNo

Authorized OfficialDeborah F StoffleOffice Admin · (865) 521-7998

Enumeration DateSeptember 15, 2010

Last NPPES UpdateAugust 29, 2012

✔ NPI 1174831887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TN · 14247

Definition

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.

2100 W CLINCH AVE, Knoxville, TN 37916

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Other Identifiers 3

Medicare UPINB04698

Medicare PIN3196142

Medicaid3196142TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Knoxville Pediatric Ophthalmology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Knoxville Pediatric Ophthalmology, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nicole Roddy, OD

Optometry

NPI 1215550439

2100 CLINCH AVE STE 400
Knoxville, TN 37916

(865) 521-7998

✔ PECOSSame address

Allyson Schmitt, M.D.

Ophthalmology

NPI 1457402216

2100 CLINCH AVE SUITE 400 KOPPEL PLAZA
Knoxville, TN 37916

(865) 521-7998

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Knoxville Pediatric Ophthalmology, PLLC's NPI number?

The NPI number for Knoxville Pediatric Ophthalmology, PLLC is 1174831887. It was assigned to this organization in the NPPES registry on September 15, 2010.

Where is Knoxville Pediatric Ophthalmology, PLLC located?

Knoxville Pediatric Ophthalmology, PLLC is located at 2100 W Clinch Ave Suite 400 Koppel Plaza, Knoxville, TN 37916. The listed phone number is (865) 521-7998.

What is Knoxville Pediatric Ophthalmology, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Knoxville Pediatric Ophthalmology, PLLC enrolled in Medicare?

Yes. Knoxville Pediatric Ophthalmology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Knoxville Pediatric Ophthalmology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Knoxville Pediatric Ophthalmology, PLLC, in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Knoxville Pediatric Ophthalmology, PLLC was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.