Organization Active NPI

John E. Anderson

  • Optometrist
  • Nashville, TN
National Provider Identifier
1245304914
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1832 Issued in TN
Legal business name
JOHN E. ANDERSON
Practice address
457 Donelson Pike
Nashville, TN 37214-3561
Phone
(615) 883-9595
Fax
(615) 883-9691
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
John E Anderson, O.D.
Title
Owner
Phone
(615) 883-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1832 TN Primary

Addresses

Primary practice location

457 Donelson Pike
Nashville, TN 37214-3561

Mailing address

457 Donelson Pike
Nashville, TN 37214-3561
Phone (615) 883-9595

Other names 1

  • Anderson Eyecare Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000276 TN Part B Supplier - Clinic/Group Practice 3678684263 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, TN

National Provider Directory

National Provider Directory

Locations

3786 Central Pike
Ste 118
Hermitage, TN 37076
Phone (615) 883-9595

457 Donelson Pike
Nashville, TN 37214
Phone (615) 883-9595

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1245304914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 DONELSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143561",
            "telephone_number": "615-883-9595",
            "fax_number": "615-883-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 DONELSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143561",
            "telephone_number": "615-883-9595",
            "fax_number": "615-883-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-883-9595",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Eyecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.

Verify at the official NPI Registry.