Organization Active NPI

Retina Consultants of Nashville

  • Ophthalmology Physician
  • Hendersonville, TN
National Provider Identifier
1104984780
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA CONSULTANTS OF NASHVILLE
Practice address
105 Glen Oak Blvd Ste 100
Hendersonville, TN 37075-3058
Phone
(615) 860-5773
Fax
(615) 860-1542
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Tracey Ouzts
Title
Practice Manager
Phone
(615) 860-5773

Specialties & licenses 1

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

Addresses

Primary practice location

105 Glen Oak Blvd Ste 100
Hendersonville, TN 37075-3058

Mailing address

105 Glen Oak Blvd Ste 100
Hendersonville, TN 37075-3058
Phone (615) 860-5773

Other practice location 1

421 Henslee Dr
Dickson, TN 37055-2166
Phone (615) 284-5755

Other practice location 2

2001 Mallory Ln Ste 105
Franklin, TN 37067-8220
Phone (615) 284-5755

Other practice location 3

934 S Broadway St Ste C
Portland, TN 37148-1718
Phone (615) 860-5775

Other practice location 4

300 20th Ave N Ste 602
Nashville, TN 37203-5602
Phone (615) 284-5755

Other practice location 5

306 Landrum Pl
Clarksville, TN 37043-4648
Phone (615) 284-5755

Other practice location 6

343 Franklin Rd Ste 204
Brentwood, TN 37027-5342
Phone (615) 284-5755

Other practice location 7

730 Fairview Ave Ste B3
Bowling Green, KY 42101-2365
Phone (615) 860-5775

Other practice location 8

141 Chesapeake Ln Ste 201
Clarksville, TN 37040-5243
Phone (615) 860-5773

Other practice location 9

3301 Aspen Grove Dr Ste 201
Franklin, TN 37067-2903
Phone (615) 860-5773

Other practice location 10

100 Covey Dr Ste 107
Franklin, TN 37067-5603
Phone (615) 860-5773

Other practice location 11

4306 Harding Pike Ste 110
Nashville, TN 37205-5205
Phone (615) 284-5755

Other practice location 12

5651 Frist Blvd Ste 709
Hermitage, TN 37076-2061
Phone (615) 860-5773

Other identifiers 1

IdentifierTypeStateIssuer
3704736MedicaidTN

Other names 1

  • Retina Consultants of Nashville Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050523000782 KY Part B Supplier - Clinic/Group Practice 9335181163 Receives reassigned benefits from 2 practitioners
Practice locations: Bowling Green, KY
O20100308000394 TN Part B Supplier - Clinic/Group Practice 9335181163 Receives reassigned benefits from 4 practitioners
Practice locations: Brentwood, TN; Clarksville, TN; Dickson, TN; Franklin, TN; Hendersonville, TN; Hermitage, TN; Nashville, TN; Portland, TN

National Provider Directory

National Provider Directory

Locations

1705 Ashley Cir
Bowling Green, KY 42104
Phone (615) 860-1727

730 Fairview Ave
Ste B3
Bowling Green, KY 42101
Phone (270) 715-0665

290 Clear Sky Ct
Clarksville, TN 37043
Phone (270) 886-2050

141 Chesapeake Ln
Ste 201
Clarksville, TN 37040

105 Glen Oak Blvd
Ste 105
Hendersonville, TN 37075

5651 Frist Blvd
Ste 318
Hermitage, TN 37076

4306 Harding Pike
Nashville, TN 37205

300 20th Ave N
Ste 602
Nashville, TN 37203
Phone (615) 284-4646

4306 Harding Pike
Ste 110
Nashville, TN 37205
Phone (615) 284-5755

934 S Broadway St
Ste C
Portland, TN 37148
Phone (615) 323-7432

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1104984780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GLEN OAK BLVD STE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753058",
            "telephone_number": "615-860-5773",
            "fax_number": "615-860-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GLEN OAK BLVD STE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753058",
            "telephone_number": "615-860-5773",
            "fax_number": "615-860-1542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Henslee Dr",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552166",
            "country_code": "US",
            "telephone_number": "615-284-5755",
            "fax_number": "615-860-5759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Mallory Ln Ste 105",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678220",
            "country_code": "US",
            "telephone_number": "615-284-5755",
            "fax_number": "615-284-5759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "934 S Broadway St Ste C",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TN",
            "postal_code": "371481718",
            "country_code": "US",
            "telephone_number": "615-860-5775",
            "fax_number": "615-860-1542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 20th Ave N Ste 602",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372035602",
            "country_code": "US",
            "telephone_number": "615-284-5755",
            "fax_number": "615-860-5759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Landrum Pl",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370434648",
            "country_code": "US",
            "telephone_number": "615-284-5755",
            "fax_number": "615-860-1542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "343 Franklin Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275342",
            "country_code": "US",
            "telephone_number": "615-284-5755",
            "fax_number": "615-284-5759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Fairview Ave Ste B3",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421012365",
            "country_code": "US",
            "telephone_number": "615-860-5775",
            "fax_number": "615-860-1542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Chesapeake Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370405243",
            "country_code": "US",
            "telephone_number": "615-860-5773",
            "fax_number": "615-860-1542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Aspen Grove Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672903",
            "country_code": "US",
            "telephone_number": "615-860-5773",
            "fax_number": "615-860-1542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Covey Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675603",
            "country_code": "US",
            "telephone_number": "615-860-5773",
            "fax_number": "615-860-1542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4306 Harding Pike Ste 110",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372055205",
            "country_code": "US",
            "telephone_number": "615-284-5755",
            "fax_number": "615-284-5759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5651 Frist Blvd Ste 709",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762061",
            "country_code": "US",
            "telephone_number": "615-860-5773",
            "fax_number": "615-860-1542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF NASHVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "OUZTS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "615-860-5773"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3704736",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Consultants of Nashville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Retina Consultants of Nashville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.