Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southside Senior Care LLC

Organization Optometrist · NPI 1497927115

Southside Senior Care LLC is an Optometrist in Johnson City, Tennessee. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2306 Knob Creek Rd
Johnson City, TN 37604-2366
Phone: (423) 943-3079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1349 (NC)

Record details

NPI number1497927115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Cox — Owner · (423) 929-2020
NPI enumeratedApril 2, 2008
Last updated in NPPESNovember 5, 2012
Mailing address2306 Knob Creek Rd, Johnson City, TN 37604-2366

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