NPIMap

Organization Active NPI

Nashville TN Ophthalmology ASC LLC

Doing business as LVC Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Goodlettsville, TN
National Provider Identifier
1063452423
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000149 Issued in TN
Legal business name
NASHVILLE TN OPHTHALMOLOGY ASC LLC
Doing business as
LVC Outpatient Surgery Center
Practice address
907 Rivergate Pkwy
Suite C 2020
Goodlettsville, TN 37072-2324
Phone
(615) 859-3121
Fax
(615) 859-3941
NPI assigned
Jun 7, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Mr. Phillip Clendenin
Title
President
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000000149 TN Primary

Addresses

Primary practice location

907 Rivergate Pkwy
Suite C 2020
Goodlettsville, TN 37072-2324

Mailing address

1A Burton Hills Blvd
Attn: L&C
Nashville, TN 37215-6103
Phone (615) 859-3121

Other identifiers 1

IdentifierTypeStateIssuer
3739734MedicaidTN

Other names 1

  • LVC Outpatient Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063452423. Details of each certification follow.

Ambulatory surgical center certification: CCN 44C0001121

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LVC Outpatient Surgery Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 25, 2002
Last certification
Feb 13, 2019
Ownership / control type
Proprietary
Facility address
907 Rivergate Parkway, Suite C-2020
Goodlettsville, TN 37072

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1063452423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "address_2": "ATTN: L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156103",
            "telephone_number": "615-859-3121",
            "fax_number": "615-859-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 RIVERGATE PKWY",
            "address_2": "SUITE C 2020",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722324",
            "telephone_number": "615-859-3121",
            "fax_number": "615-859-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE TN OPHTHALMOLOGY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3739734",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LVC Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.