Organization Active NPI

Drake Eye Care and Eyewear PLLC

  • Vision Therapy Optometrist
  • Murfreesboro, TN
National Provider Identifier
1093075186
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
2827 Issued in TN
Legal business name
DRAKE EYE CARE AND EYEWEAR PLLC
Practice address
220 Veterans Pkwy
Suite E
Murfreesboro, TN 37128-6435
Phone
(615) 907-2030
Fax
(615) 907-2356
NPI assigned
May 22, 2012
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Dr. Jennifer B Drake, ODNPI 1659535565
Title
OD/Owner
Phone
(615) 907-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 2827 TN Primary

Addresses

Primary practice location

220 Veterans Pkwy
Suite E
Murfreesboro, TN 37128-6435

Mailing address

220 Veterans Pkwy
Suite E
Murfreesboro, TN 37128-6435
Phone (615) 907-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120703000693 TN Part B Supplier - Clinic/Group Practice 8820253487 Receives reassigned benefits from 7 practitioners
Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Locations

220 Veterans Pkwy
Ste E
Murfreesboro, TN 37128
Phone (615) 900-4526

Practitioners & affiliated clinicians

Practitioners 7

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": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1093075186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 VETERANS PKWY",
            "address_2": "SUITE E",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286435",
            "telephone_number": "615-907-2030",
            "fax_number": "615-907-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VETERANS PKWY",
            "address_2": "SUITE E",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286435",
            "telephone_number": "615-907-2030",
            "fax_number": "615-907-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE EYE CARE AND EYEWEAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "615-907-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TN",
            "license": "2827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.