Organization Active NPI

Cataract and Eyecare Center Professional LLC

  • Ophthalmology Physician
  • Dickson, TN
National Provider Identifier
1073966503
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000036018 Issued in TN
Legal business name
CATARACT AND EYECARE CENTER PROFESSIONAL LLC
Practice address
10100 Ramsey Way
Dickson, TN 37055-1085
Phone
(615) 446-1915
Fax
(615) 441-9998
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Brandi Reid
Title
Billing and Insurance Admin
Phone
(615) 446-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD0000036018 TN Primary

Addresses

Primary practice location

10100 Ramsey Way
Dickson, TN 37055-1085

Mailing address

10100 Ramsey Way
Dickson, TN 37055-1085
Phone (615) 446-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160823000703 TN Part B Supplier - Clinic/Group Practice 7416242979 Receives reassigned benefits from 4 practitioners
Practice locations: Dickson, TN
O20201103002466 KY Part B Supplier - Clinic/Group Practice 7416242979 Receives reassigned benefits from 1 practitioner
Practice locations: Russellville, KY

National Provider Directory

National Provider Directory

Locations

10100 Ramsey Way
Dickson, TN 37055
Phone (615) 446-1915

112 Highway 70 E
Dickson, TN 37055
Phone (615) 446-1915

9160 Carothers Pkwy
Ste 100
Franklin, TN 37067
Phone (615) 446-1915

2001 Mallory Ln
Ste 105
Franklin, TN 37067
Phone (615) 250-0885

Practitioners & affiliated clinicians

Practitioners 4

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1073966503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 RAMSEY WAY",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551085",
            "telephone_number": "615-446-1915",
            "fax_number": "615-441-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 RAMSEY WAY",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551085",
            "telephone_number": "615-446-1915",
            "fax_number": "615-441-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATARACT AND EYECARE CENTER PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "BILLING AND INSURANCE ADMIN",
        "authorized_official_telephone_number": "615-446-9988"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000036018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.