OrganizationActive
Cleveland Optical Dispensary, Inc.
NPI 1760669147 · Eyewear Supplier · Cleveland, TN
Cleveland Optical Dispensary, Inc. is a Eyewear Supplier organization in Cleveland, TN (NPI 1760669147).
Provider details
- NPI number
- 1760669147
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Maurise Vandergriff, Owner(423) 479-4397
- License
- DPO636 (TN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 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
2415 Chambliss Ave Nw
Cleveland, TN 37311-3882
Phone: (423) 479-4397
Fax: (423) 476-2974
Street-level locationGet directions
Mailing address
2415 Chambliss Ave Nw
Cleveland, TN 37311-3882
Registry dates
- Enumerated
- 2008-01-28
- Last updated
- 2008-01-28
Frequently asked questions
- What is Cleveland Optical Dispensary, Inc.'s NPI number?
- Cleveland Optical Dispensary, Inc.'s National Provider Identifier (NPI) is 1760669147, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cleveland Optical Dispensary, Inc.?
- Cleveland Optical Dispensary, Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Cleveland Optical Dispensary, Inc. located?
- Cleveland Optical Dispensary, Inc.'s practice location on file with NPPES is 2415 Chambliss Ave Nw, Cleveland, TN 37311-3882.
- What is Cleveland Optical Dispensary, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Cleveland Optical Dispensary, Inc. is (423) 479-4397.
- Who is the authorized official for Cleveland Optical Dispensary, Inc.?
- The authorized official listed on Cleveland Optical Dispensary, Inc.'s NPPES record is Maurise Vandergriff, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cleveland Optical Dispensary, Inc.'s NPI active?
- Yes — Cleveland Optical Dispensary, Inc.'s NPI (1760669147) is active in the NPPES registry as of the last update on 2008-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.