Active NPI
Music City Eye Care LLC
- Optometrist
- Murfreesboro, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3158
- Legal business name
- MUSIC CITY EYE CARE LLC
- Practice address
- 2012 Memorial Blvd
Murfreesboro, TN 37129-5119 - Phone
- (615) 203-9098
- NPI assigned
- Sep 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Travis Matthew Johnson, O.D.
- Title
- Co-Cheif
- Phone
- (651) 230-3554
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3158 | TN | Primary |
Addresses
Primary practice location
2012 Memorial Blvd
Murfreesboro, TN 37129-5119
Mailing address
2012 Memorial Blvd
Murfreesboro, TN 37129-5119
Phone (615) 203-9098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q005853 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Music City Eye Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Smyrna, TN
- NPI 1205315496
-
- Optometrist
- Murfreesboro, TN
- NPI 1568851640
Locations
2012 Memorial Blvd
Murfreesboro, TN 37129
Phone (615) 203-5037
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Murfreesboro, TN
- NPI 1003890609
-
- Optometrist
- Murfreesboro, TN
- NPI 1073597670
-
- Optometrist
- Murfreesboro, TN
- NPI 1225289234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639785600000",
"number": "1194127225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 MEMORIAL BLVD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371295119",
"telephone_number": "615-203-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 MEMORIAL BLVD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371295119",
"telephone_number": "615-203-9098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSIC CITY EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-19",
"last_updated": "2021-12-18",
"certification_date": "2021-12-18",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TRAVIS",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "CO-CHEIF",
"authorized_official_telephone_number": "651-230-3554",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TN",
"license": "3158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q005853",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.