Individual provider Active NPI

Connie Marie James, O.D.

  • Optometrist
  • Nashville, TN
National Provider Identifier
1053431205
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT1706 Issued in TN
Practice address
2126 Abbott Martin Rd
Suite 109
Nashville, TN 37215-2609
Phone
(615) 269-3500
Fax
(615) 750-5943
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT1706 TN Primary

Addresses

Primary practice location

2126 Abbott Martin Rd
Suite 109
Nashville, TN 37215-2609

Mailing address

2126 Abbott Martin Rd Ste 109
Nashville, TN 37215-2609
Phone (615) 269-3500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040721000979 TN Practitioner - Optometry 6507846524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Music E SQ
Nashville, TN 37203-4322
Phone (615) 750-5943

25 Music Square E
Nashville, TN 37203-4322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODT1706TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James Eyecare Optometrist CurrentSince Mar 1, 2012 Accepting new patients
James L Ducklo OD Optometrist Past Accepting new patients

Locations

25 Music Sq E
Nashville, TN 37203
Phone (615) 750-5943

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1053431205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 ABBOTT MARTIN RD STE 109",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152609",
            "telephone_number": "615-269-3500",
            "fax_number": "615-750-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 ABBOTT MARTIN RD",
            "address_2": "SUITE 109",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152609",
            "telephone_number": "615-269-3500",
            "fax_number": "615-750-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "CONNIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.