Provider Demographics
NPI:1740259571
Name:NORTON, NANCY C (OD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:C
Last Name:NORTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:423-638-6329
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:423-638-6329
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000408152W00000X
TNT1187152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4172210OtherBLUE CROSS BLUE SHIELD TN
TN11526977OtherCAQH
VA009230688Medicaid
TNA02734OtherEYEMED
TNA02734OtherEYEMED
TNT81676Medicare UPIN
VA410001158Medicare ID - Type Unspecified
4172210OtherBLUE CROSS BLUE SHIELD TN
TN3596762Medicare ID - Type Unspecified
TN64409OtherDAVIS VISION