OrganizationActive
Southside Senior Care LLC
NPI 1497927115 · Optometrist · Johnson City, TN
Southside Senior Care LLC is a Optometrist organization in Johnson City, TN (NPI 1497927115).
Provider details
- NPI number
- 1497927115
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Samuel Cox, Owner(423) 929-2020
- License
- 1349 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2306 Knob Creek Rd
Johnson City, TN 37604-2366
Phone: (423) 943-3079
Street-level locationGet directions
Mailing address
2306 Knob Creek Rd
Johnson City, TN 37604-2366
Registry dates
- Enumerated
- 2008-04-02
- Last updated
- 2012-11-05
Frequently asked questions
- What is Southside Senior Care LLC's NPI number?
- Southside Senior Care LLC's National Provider Identifier (NPI) is 1497927115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Senior Care LLC?
- Southside Senior Care LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Southside Senior Care LLC located?
- Southside Senior Care LLC's practice location on file with NPPES is 2306 Knob Creek Rd, Johnson City, TN 37604-2366.
- What is Southside Senior Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Southside Senior Care LLC is (423) 943-3079.
- Who is the authorized official for Southside Senior Care LLC?
- The authorized official listed on Southside Senior Care LLC's NPPES record is Samuel Cox, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Senior Care LLC's NPI active?
- Yes — Southside Senior Care LLC's NPI (1497927115) is active in the NPPES registry as of the last update on 2012-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.