Individual provider Active NPI

Julia Clancy Bryant, O.D.

  • Optometrist
  • Clarksville, TN
National Provider Identifier
1194563841
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3894 Issued in TN
Practice address
2699 Townsend CT
Clarksville, TN 37043-6487
Phone
(931) 647-8417
Fax
(931) 648-4435
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3894 TN Primary

Addresses

Primary practice location

2699 Townsend CT
Clarksville, TN 37043-6487

Mailing address

2699 Townsend CT
Clarksville, TN 37043-6487
Phone (931) 647-8417

Other practice location 1

3929 LaMar Dr Ste B
Clarksville, TN 37040-7355
Phone (931) 245-3937

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
I20250116000285 TN Practitioner - Optometry 8527596717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn & York, Optometrists, PC Optometrist CurrentSince Nov 11, 2024 Accepting new patients

Locations

2699 Townsend Ct
Clarksville, TN 37043
Phone (931) 647-8417

3929 Lamar Dr
Ste B
Clarksville, TN 37040
Phone 9312453937 ext. 203

Organizations & group practices 1

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1194563841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 TOWNSEND CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436487",
            "telephone_number": "931-647-8417",
            "fax_number": "931-648-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 TOWNSEND CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436487",
            "telephone_number": "931-647-8417",
            "fax_number": "931-648-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3929 LaMar Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370407355",
            "country_code": "US",
            "telephone_number": "931-245-3937",
            "fax_number": "931-647-0354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JULIA",
        "middle_name": "CLANCY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.