Active NPI
Wilson County Eye Associates, LLC
Doing business as Lebanon Eye Clinic
- Optometrist
- Lebanon, TN
National Provider Identifier
1215675541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WILSON COUNTY EYE ASSOCIATES, LLC
- Doing business as
- Lebanon Eye Clinic
Mt Juliet Eye Clinic - Practice address
- 615 S Cumberland St
Lebanon, TN 37087-5107 - Phone
- (615) 547-9670
- Fax
- (615) 832-4321
- NPI assigned
- May 25, 2022
- Organization subpart
- Yes
- Parent organization
- WILSON COUNTY EYE ASSOCIATES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy C Scoggins, OD
- Title
- Owner
- Phone
- (615) 491-4245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
615 S Cumberland St
Lebanon, TN 37087-5107
Mailing address
327 Windhaven Bay
Mt Juliet, TN 37122-6912
Phone (615) 491-4245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3944398 | Medicaid | TN |
Other names 2
- Lebanon Eye Clinic
- Mt Juliet Eye Clinic
National Provider Directory
National Provider Directory- Part of
- Wilson County Eye Associates LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1215675541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 WINDHAVEN BAY",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371226912",
"telephone_number": "615-491-4245",
"fax_number": "615-832-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S CUMBERLAND ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370875107",
"telephone_number": "615-547-9670",
"fax_number": "615-832-4321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON COUNTY EYE ASSOCIATES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WILSON COUNTY EYE ASSOCIATES, LLC",
"enumeration_date": "2022-05-25",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "SCOGGINS",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-491-4245",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3944398",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lebanon Eye Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mt Juliet Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lebanon, TN
- Nathan Denton Williams, M.A., RBT
- Eric Willis
- Joseph Willis, RBT
- William E Willis Jr., DDS
- Wilson County Board of Education
- Wilson County Eye Surgery Center, LLC (Wilson County Anesthesia)
- Wilson County Eye Surgery Center, LLC
- Wilson County Eye Surgery Ctr
- Wilson County Finance Department (Wilson Emergency Management Agency)
- Damaris Wilson, SLP-CCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.