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MOUNTAIN EMPIRE EYE PHYSICIANS PLLC
NPI 1609969682
Ophthalmology in Bristol, TN

Active since October 02, 2006CLIA 44D2314912 · Waiver
3185 WEST STATE STREET, SUITE 2010, BRISTOL, TN 37620(423) 968-7555(423) 968-7641 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2026, Mar 11, 2025 (2 updates tracked since 2025).

About Mountain Empire Eye Physicians Pllc NPPES

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

MOUNTAIN EMPIRE EYE PHYSICIANS PLLC (NPI 1609969682) is a healthcare organization registered as an ophthalmology in Bristol, Tennessee and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 2, 2026, maintains 4 additional practice locations, and lists Stacy F. Perdue, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609969682
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMOUNTAIN EMPIRE EYE PHYSICIANS PLLC
Location Address3185 WEST STATE STREET, SUITE 2010Bristol, TN 37620
Mailing Address2010 Bremo Rd Ste 128aRichmond, VA 23226-2444 · (877) 969-0392 · Fax (423) 968-7641
Phone(423) 968-7555
Fax(423) 968-7641
Organization SubpartNo
Authorized OfficialStacy F. PerdueAdministrator · (423) 968-7555
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 4, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1609969682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
3185 WEST STATE STREET, Bristol, TN 37620
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Secondary Practice Locations 4

Location 1224 Clay DrPounding Mill, VA 24637-4320 · Phone (888) 857-5033
Location 2137 Plaza RdWise, VA 24293-4613 · Phone (800) 698-3019
Location 31020 Terrace Dr Ste 100Marion, VA 24354-4392 · Phone (800) 698-3019
Location 42308 Cedar Valley DrCedar Bluff, VA 24609-9302 · Phone (800) 698-3019

Other Identifiers 2

OtherCG3621GA · Railroad Medicare
OtherCG3622VA · Railroad Medicare

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)

Mountain Empire Eye Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mountain Empire Eye Physicians PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Jeffrey Bunning, M.D.
Ophthalmology
NPI 1306956776
3185 W STATE ST SUITE 2010
Bristol, TN 37620
(423) 968-7555
✔ PECOS✔ Accepts MedicareSame address
Jalen Cook
Optometry
NPI 1205675402
3185 W STATE ST STE 2010
Bristol, TN 37620
(423) 968-7555
✔ PECOS✔ Accepts MedicareSame address
Jennifer Fishel, OD
Optometry
NPI 1770584567
3185 W STATE ST STE 2010
Bristol, TN 37620
(423) 968-7555
✔ PECOS✔ Accepts MedicareSame address
Jennifer Henson, M.S., CCC-A
Qualified Audiologist
NPI 1558529552
3185 W STATE ST SUITE 2010
Bristol, TN 37620
(423) 968-7555
✔ Accepts MedicareSame address
Joshua Hicks, M.D.
Ophthalmology
NPI 1851545677
3185 W STATE ST SUITE 2010
Bristol, TN 37620
(423) 968-7555
✔ PECOS✔ Accepts MedicareSame address
Jewel Sandy, M.D
Ophthalmology
NPI 1578833802
2 WISCONSIN CIR STE 230
Chevy Chase, MD 20815
(301) 215-7100
✔ PECOS✔ Accepts Medicare325 mi
Brad Ballard, MD
Ophthalmology
NPI 1437386737
NAVAL MEDICAL CENTER PORTSMOUTH 620 JOHN PAUL JONES CIRCLE
Portsmouth, VA 23708
(301) 400-1339
✔ PECOS✔ Accepts Medicare330 mi
Bette Anderson, M.D.
Ophthalmology
NPI 1386612927
3015 VILLAGE OFFICE PL
Champaign, IL 61822
(217) 355-7947
✔ PECOS✔ Accepts Medicare407 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2314912

Mountain Empire Eye Physicians · Bristol, TN
Active · expires Dec 2, 2026
CLIA Number44D2314912
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorDr. Joshua Hicks
Laboratory Phone(423) 968-7555
Laboratory LocationMountain Empire Eye Physicians3185 W State Street Ste 2010, Bristol, TN 37620
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mountain Empire Eye Physicians PLLC's NPI number?

The NPI number for Mountain Empire Eye Physicians PLLC is 1609969682. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Mountain Empire Eye Physicians PLLC located?

Mountain Empire Eye Physicians PLLC is located at 3185 West State Street Suite 2010, Bristol, TN 37620. The listed phone number is (423) 968-7555.

What is Mountain Empire Eye Physicians PLLC's specialty?

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

Is Mountain Empire Eye Physicians PLLC enrolled in Medicare?

Yes. Mountain Empire Eye Physicians PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Empire Eye Physicians PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Mountain Empire Eye Physicians PLLC. 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. The largest specialties are Ophthalmology (5), Optometry (2) and Qualified Audiologist (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountain Empire Eye Physicians PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2314912) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain Empire Eye Physicians PLLC was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.