Active NPI
David J Shen, O.D.
- Optometrist
- Franklin, TN
National Provider Identifier
1063405066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1965
- Practice address
- 436 Main St
Franklin, TN 37064-2750 - Phone
- (615) 591-4191
- Fax
- (615) 591-4569
- NPI assigned
- Aug 24, 2005
- 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 | 1965 | TN | Primary |
Addresses
Primary practice location
436 Main St
Franklin, TN 37064-2750
Mailing address
436 Main St
Franklin, TN 37064-2750
Phone (615) 591-4191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3942611 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1965 | TN | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063405066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 MAIN ST",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370642750",
"telephone_number": "615-591-4191",
"fax_number": "615-591-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 MAIN ST",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370642750",
"telephone_number": "615-591-4191",
"fax_number": "615-591-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "1965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3942611",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.