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CLEVELAND OPTICAL DISPENSARY, INC.
NPI 1760669147
Eyewear Supplier in Cleveland, TN

Active since January 28, 2008
2415 CHAMBLISS AVE NW, CLEVELAND, TN 37311(423) 479-4397(423) 476-2974 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cleveland Optical Dispensary, Inc. NPPES

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

CLEVELAND OPTICAL DISPENSARY, INC. (NPI 1760669147) is a healthcare organization registered as an eyewear supplier in Cleveland, Tennessee and active in the NPI registry since January 2008. The organization lists Maurise Gene Vandergriff, Owner, as its authorized official.

NPPES Registry Identity

NPI1760669147
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCLEVELAND OPTICAL DISPENSARY, INC.
Location Address2415 CHAMBLISS AVE NWCleveland, TN 37311-3882
Mailing Address2415 Chambliss Ave Nw, P.o. Box 2728Cleveland, TN 37311-3882 · (423) 479-4397 · Fax (423) 476-2974
Phone(423) 479-4397
Fax(423) 476-2974
Organization SubpartNo
Authorized OfficialMaurise Gene VandergriffOwner · (423) 479-4397
Enumeration DateJanuary 28, 2008
✔ NPI 1760669147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in TN · DPO636
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2415 CHAMBLISS AVE NW, Cleveland, TN 37311
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Other Identifiers 1

Medicare NSC0243820001TN

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM F BUCHNER, JR. M.D.
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-2800
BARTON L NAKDIMEN APRN-BC
Nurse Practitioner (Family)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-2800
ELIZABETH W GOODWIN NP
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-2800
GASTROINTESTINAL ASSOCIATES OF CLEVELAND, PC
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-2800
MR. MAURISE GENE VANDERGRIFF SR. L.D.O.
Technician/Technologist (Optician)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 479-4397
KARI ANNE WILLIAMS MSN, APRN, FNP-C
Nurse Practitioner
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-2800
SHELIA A. TREW R.N., MSN, NP
Nurse Practitioner (Family)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-2800
PAUL A. BRUNDAGE D.O.
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-2800

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 Cleveland Optical Dispensary, Inc.'s NPI number?

The NPI number for Cleveland Optical Dispensary, Inc. is 1760669147. It was assigned to this organization in the NPPES registry on January 28, 2008.

Where is Cleveland Optical Dispensary, Inc. located?

Cleveland Optical Dispensary, Inc. is located at 2415 Chambliss Ave NW, Cleveland, TN 37311. The listed phone number is (423) 479-4397.

What is Cleveland Optical Dispensary, Inc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Cleveland Optical Dispensary, Inc. was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.