Family Eye Med, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FAMILY EYE MED, PLLC

Practice address

404 N Castle Heights Ave
Ste a
Lebanon, TN 37087-1511

Phone

(615) 449-0541

Fax

(615) 449-9899

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John Pino, OD

Title

Owner

Phone

(615) 449-0541

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1144600388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N CASTLE HEIGHTS AVE",
            "address_2": "STE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871511",
            "telephone_number": "615-449-0541",
            "fax_number": "615-449-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N CASTLE HEIGHTS AVE",
            "address_2": "STE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871511",
            "telephone_number": "615-449-0541",
            "fax_number": "615-449-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE MED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "PINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-449-0541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Dene Etheredge, PT
• Randolph R Evans, MD
• Donald O. Ezuteh, M.D.
• Kathy Fahner
• La Keisha Fair, MAE, ATC,LAT
• Family Medical Community Healthcare, PLLC
• Family Medical PC
• Erick Farmer
• Haleigh Farmer
• Sara Jeanette Farris, MSES, LAT, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.