Organization Active NPI

Summit Eye Associates P C

  • Ophthalmology Physician
  • Hermitage, TN
National Provider Identifier
1033277116
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SUMMIT EYE ASSOCIATES P C
Practice address
5410 Old Hickory Blvd
Hermitage, TN 37076-2574
Phone
(615) 883-2356
Fax
(615) 872-0863
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Ms. Lorie Landry
Title
Office Manager
Phone
(615) 883-2356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X TN Primary

Addresses

Primary practice location

5410 Old Hickory Blvd
Hermitage, TN 37076-2574

Mailing address

5410 Old Hickory Blvd
Hermitage, TN 37076-2574
Phone (615) 883-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928001543 TN Part B Supplier - Clinic/Group Practice 1052346913 Receives reassigned benefits from 6 practitioners
Practice locations: Hermitage, TN

National Provider Directory

National Provider Directory

Locations

5410 Old Hickory Blvd
Hermitage, TN 37076
Phone (615) 883-2356

Interoperability endpoints

  • Direct secure messaging: jsmith@summiteyepc.intellechartdirect.net
  • Direct secure messaging: clowrance@summiteyepc.intellechartdirect.net
  • Direct secure messaging: jrouton@summiteyepc.intellechartdirect.net
  • Direct secure messaging: jyoung@summiteyepc.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1033277116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762574",
            "telephone_number": "615-883-2356",
            "fax_number": "615-872-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762574",
            "telephone_number": "615-883-2356",
            "fax_number": "615-872-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-883-2356",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.