NPIMap

Organization Active NPI

Eyecare Plus HV PLLC

  • Optometrist
  • Hendersonville, TN
National Provider Identifier
1255386116
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE PLUS HV PLLC
Practice address
386 W Main St
Suite 104
Hendersonville, TN 37075-3349
Phone
(615) 338-3602
Fax
(615) 338-3606
NPI assigned
May 22, 2006
Reactivated
Apr 24, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Cheyanne Mullis
Title
Manager
Phone
(615) 988-5303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

386 W Main St
Suite 104
Hendersonville, TN 37075-3349

Mailing address

386 W Main St
Suite 104
Hendersonville, TN 37075-3349
Phone (615) 338-3602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826001408 TN Part B Supplier - Clinic/Group Practice 2769457480 Receives reassigned benefits from 11 practitioners
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory

Locations

386 W Main St
Ste 104
Hendersonvlle, TN 37075
Phone (615) 336-3602

2139 Gallatin Pike N
Madison, TN 37115
Phone (615) 859-7888

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1255386116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 W MAIN ST",
            "address_2": "SUITE 104",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753349",
            "telephone_number": "615-338-3602",
            "fax_number": "615-338-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 W MAIN ST",
            "address_2": "SUITE 104",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753349",
            "telephone_number": "615-338-3602",
            "fax_number": "615-338-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE PLUS HV PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-04-24",
        "certification_date": "2021-08-05",
        "deactivation_date": "2024-02-23",
        "reactivation_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "MULLIS",
        "authorized_official_first_name": "CHEYANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-988-5303"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.