Active NPI
Randal L Cheek, DPO0000000487
- Optician
- Columbia, TN
National Provider Identifier
1093011033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DPO0000000487
- Practice address
- 1922 Shady Brook St
Columbia, TN 38401-3989 - Phone
- (931) 388-2061
- Fax
- (931) 388-9973
- NPI assigned
- Feb 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DPO0000000487 | TN | Primary |
Addresses
Primary practice location
1922 Shady Brook St
Columbia, TN 38401-3989
Mailing address
1922 Shady Brook St
Columbia, TN 38401-3989
Phone (931) 388-2061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPO0000000487 | TN | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1093011033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 SHADY BROOK ST",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013989",
"telephone_number": "931-388-2061",
"fax_number": "931-388-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 SHADY BROOK ST",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013989",
"telephone_number": "931-388-2061",
"fax_number": "931-388-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEEK",
"first_name": "RANDAL",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "DPO0000000487",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "TN",
"license": "DPO0000000487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.