CCN Optical Services LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

MC15763 Issued in TN

Legal business name

CCN OPTICAL SERVICES LLC

Practice address

2400 Patterson St
#201
Nashville, TN 37203-1562

Phone

(615) 320-3937

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Harry Joseph Dempsey, LDO

Title

Optician

Phone

(615) 320-3937

Specialties & licenses 1

Addresses

Other names 1

• Visualeyes Doing business as

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1104140508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "#201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-320-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "#201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-320-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCN OPTICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "615-320-3937",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "MC15763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visualeyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angelina M Caverly, BSN RN
• Christina Caviasco
• Catherine Cavin
• Stephanie Cavnar
• Braxton C Cayce, CRNA
• Elizabeth Cecelic, APRN
• Angela Mozelle Cecil
• Breanna Cecil, RD
• Cedar Recovery of Middle Tennessee, LLC
• Amanda Ryan Ceglarz, MS, RD, LD

• Eyewear Supplier in Nashville, TN
• Providers in Nashville, TN by specialty
• Eyewear Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.