Active NPI
Anthony Vincent Perry, O.D.
- Optometrist
- Madison, TN
National Provider Identifier
1013297852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TN3004
- Practice address
- 1764 Gallatin Pike N
Madison, TN 37115-2122 - Phone
- (615) 865-6074
- Fax
- (615) 865-8470
- NPI assigned
- Aug 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TN3004 | TN | Primary |
Addresses
Primary practice location
1764 Gallatin Pike N
Madison, TN 37115-2122
Mailing address
1764 Gallatin Pike N
Madison, TN 37115-2122
Phone (615) 865-6074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN3004 | TN | MD | Optometrist |
| 3004 | TN | MD | Physical Therapy Assistant |
Networks
- TN PPO
- MS PPO C-SNP
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- MS PPO D-SNP
- MS PPO
- AL HMO D-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1013297852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1764 GALLATIN PIKE N",
"city": "MADISON",
"state": "TN",
"postal_code": "371152122",
"telephone_number": "615-865-6074",
"fax_number": "615-865-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1764 GALLATIN PIKE N",
"city": "MADISON",
"state": "TN",
"postal_code": "371152122",
"telephone_number": "615-865-6074",
"fax_number": "615-865-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "ANTHONY",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-25",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "TN3004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.