Individual provider Active NPI

Cynthia O Jones, OD

  • Optometrist
  • Murfreesboro, TN
National Provider Identifier
1194761387
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT1258 Issued in TN
Practice address
836 N Thompson LN
Suite J
Murfreesboro, TN 37129-4342
Phone
(615) 217-2500
Fax
(615) 217-2144
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT1258 TN Primary

Addresses

Primary practice location

836 N Thompson LN
Suite J
Murfreesboro, TN 37129-4342

Mailing address

836 N Thompson LN
Suite J
Murfreesboro, TN 37129-4342
Phone (615) 217-2500

Other identifiers 3

IdentifierTypeStateIssuer
2240492OtherTNUNITED HEALTHCARE
4120980001OtherSUPPLIER #
3165399OtherTNBLUE CROSS BLUE SHIELD

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
I20250121001016 TN Practitioner - Optometry 6103938865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pepelea Family Eye Care, PLLCGroup PAC ID 6305130493, 2 clinicians

Practice addresses (Care Compare)

125 John R Rice Blvd
Murfreesboro, TN 37129-4165
Phone (615) 904-9460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODT1258TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pepelea Family Eye Care PLLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Drake Eye Care and Eyewear PLLC Past Accepting new patients

Locations

125 John R Rice Blvd
Murfreesboro, TN 37129
Phone (615) 895-9979

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1194761387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 N THOMPSON LN",
            "address_2": "SUITE J",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294342",
            "telephone_number": "615-217-2500",
            "fax_number": "615-217-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 N THOMPSON LN",
            "address_2": "SUITE J",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294342",
            "telephone_number": "615-217-2500",
            "fax_number": "615-217-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CYNTHIA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2240492",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER #",
            "identifier": "4120980001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3165399",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.