Jason Chu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3633 Issued in TN

Practice address

401 S Mount Juliet Rd Ste 367
Mt Juliet, TN 37122-8544

Phone

(615) 758-0874

Fax

(615) 758-5095

NPI assigned

Jul 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Tennessee, HSC, College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Spectacle Shoppe LLCGroup PAC ID 0345530473, 2 clinicians

Murfreesboro Eye Center PLLCGroup PAC ID 3971974833, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Murfreesboro Eye Center PLLC

  • Optometrist
  • Murfreesboro, TN
  • NPI 1407589195
  Medicare reassignment Care Compare group NPD
• The Spectacle Shoppe LLC

  • Optometrist
  • Franklin, TN
  • NPI 1487010427
  Medicare reassignment Care Compare group NPD
• William L Jones, O.D.

  • Optometrist
  • Franklin, TN
  • NPI 1831101856
  Medicare reassignment
• James L Ducklo OD

  • Optometrist
  • Antioch, TN
  • NPI 1285786145
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1154939742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD STE 367",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228544",
            "telephone_number": "615-758-0874",
            "fax_number": "615-758-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD STE 367",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228544",
            "telephone_number": "615-758-0874",
            "fax_number": "615-758-5095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2126 Abbott Martin Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372152619",
            "country_code": "US",
            "telephone_number": "615-269-3500",
            "fax_number": "615-269-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "JASON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Hana Chong
• Deidre Lin Chopoorian, PHARMD
• Chelsea Chrisp, DPT
• Tommi Alexandra Christian, MS, BCBA, LBA
• Christopher Ministries, Inc.
• Kacy Cioccia
• City of Mt Juliet
• Karen B Clairday, RN, IBCLC
• Lisa S Clark, BS
• Ronda Clark, FNP

• Optometrist in Mt Juliet, TN
• Providers in Mt Juliet, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.