Organization Active NPI

Hendersonville Eye Health & Vision, PLLC

  • Clinic/Center
  • Hendersonville, TN
National Provider Identifier
1174962880
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
007434 Issued in TN
Legal business name
HENDERSONVILLE EYE HEALTH & VISION, PLLC
Practice address
264 New Shackle Island Rd
Suite 102
Hendersonville, TN 37075-2480
Phone
(615) 447-3404
NPI assigned
Jun 17, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Joshua Martin Garnsey, ODNPI 1972869667
Title
Owner
Phone
(615) 447-3404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 007434 TN Primary

Addresses

Primary practice location

264 New Shackle Island Rd
Suite 102
Hendersonville, TN 37075-2480

Mailing address

264 New Shackle Island Rd
Suite 102
Hendersonville, TN 37075-2480
Phone (615) 447-3404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130719000258 TN Part B Supplier - Clinic/Group Practice 9931340809 Receives reassigned benefits from 1 practitioner
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory

Locations

264 New Shackle Island Rd
Ste 102
Hendersonville, TN 37075
Phone (615) 447-3404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1174962880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 102",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752480",
            "telephone_number": "615-447-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 102",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752480",
            "telephone_number": "615-447-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE EYE HEALTH & VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "GARNSEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-447-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "007434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.