Organization Active NPI

Essential Eye Care, PLLC

  • Optometrist
  • Murfreesboro, TN
National Provider Identifier
1144895459
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ESSENTIAL EYE CARE, PLLC
Practice address
1524 Beasie Rd
Murfreesboro, TN 37128-2945
Phone
(615) 439-2646
Fax
(615) 439-2647
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Dr. Angela Porch Johnson, ODNPI 1073597670
Title
Owner
Phone
(615) 203-9098

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 Primary

Addresses

Primary practice location

1524 Beasie Rd
Murfreesboro, TN 37128-2945

Mailing address

2125 Rock Springs Midland Rd
Christiana, TN 37037-5357
Phone (615) 203-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210723002936 TN Part B Supplier - Clinic/Group Practice 9638572944 Receives reassigned benefits from 4 practitioners
Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1144895459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROCK SPRINGS MIDLAND RD",
            "city": "CHRISTIANA",
            "state": "TN",
            "postal_code": "370375357",
            "telephone_number": "615-203-9098",
            "fax_number": "615-867-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 BEASIE RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371282945",
            "telephone_number": "615-439-2646",
            "fax_number": "615-439-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "PORCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-203-9098",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.