Provider Demographics
NPI:1629144662
Name:NORTON ENTERPRISES
Entity Type:Organization
Organization Name:NORTON ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPO
Authorized Official - Phone:423-638-6236
Mailing Address - Street 1:1310 E ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-4270
Mailing Address - Country:US
Mailing Address - Phone:423-638-6236
Mailing Address - Fax:423-639-8227
Practice Address - Street 1:1310 E ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4270
Practice Address - Country:US
Practice Address - Phone:423-638-6236
Practice Address - Fax:423-639-8227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPO0000000120156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0545600001Medicare ID - Type UnspecifiedPALMETTO GBA MEDICARE