Organization Active NPI

Anthony V. Perry O.D. & Associates PLC

  • Optometrist
  • Clarksville, TN
National Provider Identifier
1164979019
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TN3004 Issued in TN
Legal business name
ANTHONY V. PERRY O.D. & ASSOCIATES PLC
Practice address
2257 Wilma Rudolph Blvd
Ste E & F
Clarksville, TN 37040-6193
Phone
(931) 919-2783
Fax
(931) 919-2781
NPI assigned
Sep 8, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Courtney Beatty
Title
Office Manager
Phone
(615) 865-6074

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Anthony V Perry OD Associates PLC (2 organizations share this tax ID)

Locations

2257 Wilma Rudolph Blvd
Ste E
Clarksville, TN 37040
Phone (931) 919-2783

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TN3004 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

2257 Wilma Rudolph Blvd
Ste E & F
Clarksville, TN 37040-6193

Mailing address

2257 Wilma Rudolph Blvd
Ste E & F
Clarksville, TN 37040-6193
Phone (931) 919-2783

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2016.

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1164979019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 WILMA RUDOLPH BLVD",
            "address_2": "STE E & F",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406193",
            "telephone_number": "931-919-2783",
            "fax_number": "931-919-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 WILMA RUDOLPH BLVD",
            "address_2": "STE E & F",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406193",
            "telephone_number": "931-919-2783",
            "fax_number": "931-919-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY V. PERRY O.D. & ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-865-6074"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN3004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.