Pepelea Family Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2866 Issued in TN

Legal business name

PEPELEA FAMILY EYE CARE PLLC

Practice address

125 John R Rice Blvd
Murfreesboro, TN 37129-4165

Phone

(615) 904-9460

Fax

(615) 895-4280

NPI assigned

Jun 11, 2016

Organization subpart

No

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

Authorized official

Name

Alissa Diane Pepelea, O.D.NPI 1417122383

Title

Owner/President

Phone

(317) 289-3189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 3

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

• Alissa Diane Pepelea, O.D.

  • Optometrist
  • Murfreesboro, TN
  • NPI 1417122383
  Medicare reassignment Care Compare group NPD Authorized official
• Cynthia O Jones, OD

  • Optometrist
  • Murfreesboro, TN
  • NPI 1194761387
  Medicare reassignment Care Compare group NPD
• David Afshin Gavami, OD

  • Optometrist
  • Brentwood, TN
  • NPI 1285799155
  Medicare reassignment NPD

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1114376977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MOSAIC TRL",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371309021",
            "telephone_number": "615-904-9460",
            "fax_number": "615-895-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JOHN R RICE BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294165",
            "telephone_number": "615-904-9460",
            "fax_number": "615-895-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPELEA FAMILY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "PEPELEA",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-289-3189",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Lee Pendergrass
• Bryce Penick, DC
• Virginia Lee Penner, DPT
• Brandon Penning, NP
• Simya Chante Pennington
• Alissa Diane Pepelea, O.D.
• Rachael Alexis Pepka
• Mike Pepper
• Periodontics & Implant Dentistry of Middle Tennessee
• Graham Perkins

• Optometrist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.