Collins Eye Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1301 Issued in TN

Legal business name

COLLINS EYE CENTER, PLLC

Practice address

115 Penn Warren Dr
Suite4 450
Brentwood, TN 37027-5047

Phone

(615) 447-9850

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Charles Garry Collins, ODNPI 1861482093

Title

OD/Owner

Phone

(615) 218-0306

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Garry Collins, OD

  • Optometrist
  • Brentwood, TN
  • NPI 1861482093
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1225417447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ROYAL XING",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648909",
            "telephone_number": "615-218-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PENN WARREN DR",
            "address_2": "SUITE4 450",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275047",
            "telephone_number": "615-447-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS EYE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "GARRY",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "615-218-0306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Connor Cole, MSN-FNP
• Amanda Coleman
• Elliot Coleman, NSCA-CSCS
• Kevin Boyd Collen, MD
• Cory Brooks Collier, MD
• Amber Gaddy Collins
• Charles Garry Collins, OD
• Edwina Collins, DDS
• Jill C Collins
• Tristen Collins, DC, MS

• Optometrist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.