Organization Active NPI

The Eye Care Center of Lebanon, LLC

  • Optometrist
  • Lebanon, TN
National Provider Identifier
1164740288
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THE EYE CARE CENTER OF LEBANON, LLC
Practice address
305 W Main St
Lebanon, TN 37087-3545
Phone
(615) 453-1017
Fax
(615) 453-1014
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Mr. David Stinson
Title
Cfo
Phone
(615) 453-1017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

305 W Main St
Lebanon, TN 37087-3545

Mailing address

305 W Main St
Lebanon, TN 37087-3545
Phone (615) 453-1017

National Provider Directory

National Provider Directory

Locations

305 W Main St
Lebanon, TN 37087
Phone (615) 443-9912

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1164740288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873545",
            "telephone_number": "615-453-1017",
            "fax_number": "615-453-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873545",
            "telephone_number": "615-453-1017",
            "fax_number": "615-453-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CARE CENTER OF LEBANON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-453-1017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.