Virgilio P Gozum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3245 Issued in TN

Practice address

5238 Main St
Spring Hill, TN 37174

Phone

(931) 489-1950

NPI assigned

Jun 11, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring Hill Eyecare, PLLCGroup PAC ID 4385665512, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• TN PPO C-SNP
• MS PPO
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• AL HMO
• AL HMO D-SNP
• MS PPO D-SNP
• TN PPO
• MS PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spring Hill Eyecare, PLLC

  • Eyewear Supplier
  • Spring Hill, TN
  • NPI 1255513388
  Medicare reassignment Care Compare group NPD
• NP Health of TN PLLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1841888591
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1003297318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742443",
            "telephone_number": "931-489-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "37174",
            "telephone_number": "931-489-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZUM",
        "first_name": "VIRGILIO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TN",
            "license": "3245",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3245",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "3245",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TN",
            "license": "3245",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TN",
            "license": "3245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generated Family Medical Resolution
• Dallas Nathaniel Gibson
• Melba Joyce Goodwin, RDH
• David Edward Goss, PHARMD
• Shelli Margaret Goss
• Grace Pediatrics PLLC
• Callie Graves, PA-C
• Tanya Green, CPM
• Victoria Greer, PA-C
• Timothy Ronald Grimes

• Optometrist in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.