Individual provider Active NPI

Lavanya Tammareddi, O.D.

  • Optometrist
  • Mount Juliet, TN
National Provider Identifier
1174690655
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2701 Issued in TN
Practice address
401 S Mount Juliet Rd
Space 367
Mount Juliet, TN 37122-6359
Phone
(615) 758-0874
NPI assigned
Nov 29, 2006
Last updated
Aug 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2701 TN Primary

Addresses

Primary practice location

401 S Mount Juliet Rd
Space 367
Mount Juliet, TN 37122-6359

Mailing address

401 S Mount Juliet Rd
Space 367
Mount Juliet, TN 37122-6359
Phone (615) 758-0874

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
I20070514000541 TN Practitioner - Optometry 0840397535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermitage Eye Care, PLLCGroup PAC ID 0446576359, 48 clinicians

Practice addresses (Care Compare)

122 Hwy 76
White House, TN 37188-9291
Phone (615) 672-6896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hermitage Eye Care PLLC Optometrist CurrentSince May 27, 2024 Accepting new patients
Murfreesboro Eye Center PLLC Optometrist CurrentSince Nov 9, 2025 Accepting new patients
Hermitage Eye Care PLLC Optometrist CurrentSince Feb 23, 2025 Accepting new patients
Lavanya Tammareddi Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

782 Old Hickory Blvd
Ste 204
Brentwood, TN 37027
Phone (615) 373-9992

401 S Mount Juliet Rd
Ste 367
Mt Juliet, TN 37122
Phone (615) 758-0874

122 Highway 76
White House, TN 37188
Phone (615) 672-6896

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1174690655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD",
            "address_2": "SPACE 367",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226359",
            "telephone_number": "615-758-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD",
            "address_2": "SPACE 367",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226359",
            "telephone_number": "615-758-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMMAREDDI",
        "first_name": "LAVANYA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.