Individual provider Active NPI

Nicholas Patrick Engle, O.D.

  • Optometrist
  • Brentwood, TN
National Provider Identifier
1184822041
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2743 Issued in TN
Practice address
205 Ward Cir
Brentwood, TN 37027-7552
Phone
(615) 373-0080
Fax
(615) 373-2848
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2743 TN Primary

Addresses

Primary practice location

205 Ward Cir
Brentwood, TN 37027-7552

Mailing address

205 Ward Cir
Brentwood, TN 37027-7552
Phone (615) 373-0080

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
I20080118000665 TN Practitioner - Optometry 5496836173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
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)

5407 Main St
Suite 400
Spring Hill, TN 37174-4415
Phone (931) 489-0029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2743TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermitage Eye Care PLLC Optometrist CurrentSince Jul 19, 2021 Accepting new patients
Hermitage Eye Care PLLC Optometrist PastSince Feb 23, 2025 Accepting new patients

Locations

205 Ward Cir
Brentwood, TN 37027
Phone (615) 373-0080

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

205 Ward Cir
Ste 1
Brentwood, TN 37027
Phone (615) 373-0080

1227 Hatcher Ln
Columbia, TN 38401
Phone (931) 388-3604

5407 Main St
Ste 400
Spring Hill, TN 37174
Phone (931) 489-0029

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184822041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WARD CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277552",
            "telephone_number": "615-373-0080",
            "fax_number": "615-373-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WARD CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277552",
            "telephone_number": "615-373-0080",
            "fax_number": "615-373-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "NICHOLAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.