Brookside Vision Center PLLC · Optometrist

1936 Brookside Dr Ste A, Kingsport, TN 37660-4654

Overview

Brookside Vision Center PLLC is a Optometrist (organization) practicing in Kingsport, Tennessee. The National Provider Identifier (NPI) is #1699650184, which was assigned on August 6, 2025, and the registration record was last updated on August 6, 2025. The practitioner's main practice location is at 1936 Brookside Dr Ste A, Kingsport, TN 37660-4654; the contact telephone number is 4232463372. The primary taxonomy of Brookside Vision Center PLLC is Optometrist (152W00000X). The authorized official for Brookside Vision Center PLLC is Dr. Angela Patteson (Owner).

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.

Provider Information

NPI 1699650184
Entity Type Organization
Organization Name BROOKSIDE VISION CENTER PLLC
Provider Name BROOKSIDE VISION CENTER PLLC
Practice Address 1936 Brookside Dr Ste A
Kingsport
TN 37660-4654
Practice Telephone 4232463372
Mailing Address 1919 Millbrook Dr
Johnson City
TN 37604-1485
Mailing Telephone 4238178029
Certification Date 2025-08-06
Enumeration Date 2025-08-06
Last Update Date 2025-08-06
Is Organization Subpart N

Authorized Official Information

Official Name DR. ANGELA PATTESON
Official Title OWNER
Credential OD
Telephone 4238178029

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y152W00000XOptometrist193400000X SINGLE SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Brookside Vision Center PLLCDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 152W00000X
Taxonomy Optometrist
Classification Optometrist
Grouping Eye and Vision Services Providers
Definition: 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.
Notes: Source: American Optometric Association (AOA), approved by the AOA's Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

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Location Information

Street Address 1936 BROOKSIDE DR STE A
City KINGSPORT
State TN
Zip Code 37660-4654
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Asheesh Shipstone 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050Hematology & Oncology Physician2006-03-01
Christopher A Pendola 430 W Ravine Rd, Kingsport, TN 37660Neurology Physician2006-09-26
Holston Medical Group PC 105 W Stone Dr, 3a, Kingsport, TN 37660-3256Pediatrics Physician2006-07-21
Jonmichael Samsel 2300 W Stone Dr, Kingsport, TN 37660-2360General Practice Physician2021-03-23
Charles E Payne 1932 Brookside Drive, Kingsport, TN 37660Urology Physician2006-05-05
Dr Kc 2320 Pendragon Rd, Kingsport, TN 37660-2937Physical Therapist2026-03-23
Emily Renee Florez 2300 W Stone Dr, Kingsport, TN 37660-2360Family Nurse Practitioner2018-11-27
Susan R Breeden 1905 American Way, Kingsport, TN 37660Family Nurse Practitioner2014-02-10
Spring Oak Kingsport LLC 1300 Bloomingdale Pike, Kingsport, TN 37660-2685Assisted Living Facility2026-02-19
Mistie Spring Glenn Hagaman · Mistie Hagaman 4485 W Stone Dr, Kingsport, TN 37660-1487Family Nurse Practitioner2015-05-19
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
New World Vision Center, Inc. 612 Washington Ave Ste 3, Philadelphia, PA 19147-4836Optometrist2006-11-27
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Brookside Nursing & Rehabilitation Center LLC 915 1st St, Winnfield, LA 71483-2945Skilled Nursing Facility2025-10-16
Verdant Vision Center LLC 1635 Higdon Ferry Rd Ste E, Hot Springs, AR 71913-6904Pediatric Optometrist2025-11-05
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Empire Vision Center, Inc 10 Glenridge Rd Store#1, Glenville, NY 12302Eyewear Supplier2013-09-19

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.