Active NPI
Randolph Brightwell
- Optometrist
- Nashville, TN
National Provider Identifier
1245603554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODT1188
- Practice address
- 1312 Plymouth Ave
Nashville, TN 37216-2304 - Phone
- (615) 785-6010
- Fax
- (615) 885-2037
- NPI assigned
- Nov 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODT1188 | TN | Primary |
Addresses
Primary practice location
1312 Plymouth Ave
Nashville, TN 37216-2304
Mailing address
1312 Plymouth Ave
Nashville, TN 37216-2304
Phone (615) 785-6010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODT1188 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1245603554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 PLYMOUTH AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372162304",
"telephone_number": "615-785-6010",
"fax_number": "615-885-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 PLYMOUTH AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372162304",
"telephone_number": "615-785-6010",
"fax_number": "615-885-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHTWELL",
"first_name": "RANDOLPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "ODT1188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.