Individual provider Active NPI

Artee D. Nanji, O.D.

  • Optometrist
  • Arlington, TN
National Provider Identifier
1164568358
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2510 Issued in TN
Practice address
11860 Cranston Dr
Arlington, TN 38002-4886
Phone
(901) 867-5540
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2510 TN Primary

Addresses

Primary practice location

11860 Cranston Dr
Arlington, TN 38002-4886

Mailing address

11860 Cranston Dr
Arlington, TN 38002-4886
Phone (901) 867-5540

Other identifiers 2

IdentifierTypeStateIssuer
3590066OtherMEDICARE INDIVIDUAL PTAN
35900661OtherMEDICARE GROUP/ORGANIZATION PTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080813000781 TN Practitioner - Optometry 9739254574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Eyecare, PLCGroup PAC ID 7810062650, 2 clinicians

Practice addresses (Care Compare)

11860 Cranston Dr
Arlington, TN 38002-4886
Phone (901) 867-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2510TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern College of Optometry Optometrist CurrentSince Aug 8, 2020 Accepting new patients
Primary Eyecare, PLC Optometrist CurrentSince Jul 7, 2008 Accepting new patients

Locations

11860 Cranston Dr
Arlington, TN 38002
Phone (901) 867-5540

1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1164568358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 CRANSTON DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024886",
            "telephone_number": "901-867-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 CRANSTON DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024886",
            "telephone_number": "901-867-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANJI",
        "first_name": "ARTEE",
        "middle_name": "D.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "3590066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP/ORGANIZATION PTAN",
            "identifier": "35900661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

Verify at the official NPI Registry.