Organization Active NPI

Cool Springs Eyecare, PLLC

  • Optometrist
  • Franklin, TN
National Provider Identifier
1104968817
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
152W00000X Issued in TN
Legal business name
COOL SPRINGS EYECARE, PLLC
Practice address
3252 Aspen Grove Drive
Suite 1
Franklin, TN 37067-7215
Phone
(615) 771-7555
Fax
(615) 771-7773
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Jeffrey Kegarise, O.D.NPI 1841276904
Title
Owner
Phone
(615) 771-7555

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 152W00000X TN Primary

Addresses

Primary practice location

3252 Aspen Grove Drive
Suite 1
Franklin, TN 37067-7215

Mailing address

3252 Aspen Grove Drive
Suite 1
Franklin, TN 37067-7215
Phone (615) 771-7555

Other identifiers 2

IdentifierTypeStateIssuer
410043931OtherTNRAILROAD MEDICARE
3943784MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071001000845 TN Part B Supplier - Clinic/Group Practice 8921193285 Receives reassigned benefits from 11 practitioners
Practice locations: Franklin, TN
O20240703003746 TN Part B Supplier - Clinic/Group Practice 8921193285 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2044020Cool Springs Eyecare3252 Aspen Grove Dr, Suite 1, Franklin, TN 37067Certificate of waiverJul 15, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cool Springs Eyecare PLLC3252 Aspen Grove Dr, Franklin, TN 37067-4894(615) 771-7555 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 2, 2000

National Provider Directory

National Provider Directory

Locations

3252 Aspen Grove Dr
Ste 1
Franklin, TN 37067
Phone (615) 771-7555

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1104968817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 ASPEN GROVE DRIVE",
            "address_2": "SUITE 1",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677215",
            "telephone_number": "615-771-7555",
            "fax_number": "615-771-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 ASPEN GROVE DRIVE",
            "address_2": "SUITE 1",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677215",
            "telephone_number": "615-771-7555",
            "fax_number": "615-771-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOL SPRINGS EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "KEGARISE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-771-7555",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410043931",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3943784",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.