Individual provider Active NPI

Kendall B. Harris, O.D.

  • Corneal and Contact Management Optometrist
  • Nashville, TN
National Provider Identifier
1275582009
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
ODT816 Issued in TN
Practice address
524B Donelson Pike
Nashville, TN 37214
Phone
(615) 889-0147
Fax
(615) 889-2700
NPI assigned
May 9, 2006
Last updated
Sep 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X ODT816 TN Primary

Addresses

Primary practice location

524B Donelson Pike
Nashville, TN 37214

Mailing address

524B Donelson Pike
Nashville, TN 37214-3729
Phone (615) 889-0147

Other practice location 1

2475 Murfreesboro Pike
Nashville, TN 37217-3554
Phone (615) 366-4167

Other identifiers 1

IdentifierTypeStateIssuer
410017932OtherTNMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000689 TN Practitioner - Optometry 5193832780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donelson Eyecare, PLLCGroup PAC ID 0446299051, 4 clinicians

Practice addresses (Care Compare)

2378 Lebanon Pike
Nashville, TN 37214-2411
Phone (615) 889-0147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
816TNMDBehavioral Analyst
ODT816TNMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cool Springs Eyecare, PLLC CurrentSince Jan 3, 2024 Accepting new patients
Donelson Eyecare, PLLC Corneal and Contact Management CurrentSince Jan 2, 2018 Accepting new patients

Locations

3252 Aspen Grove Dr
Ste 1
Franklin, TN 37067
Phone (615) 771-7555

2378 Lebanon Pike
Nashville, TN 37214
Phone (615) 889-0147

524B Donelson Pike
Nashville, TN 37214
Phone (615) 889-0147

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1275582009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524B DONELSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143729",
            "telephone_number": "615-889-0147",
            "fax_number": "615-889-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524B DONELSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37214",
            "telephone_number": "615-889-0147",
            "fax_number": "615-889-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2475 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173554",
            "country_code": "US",
            "telephone_number": "615-366-4167",
            "fax_number": "615-367-6584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KENDALL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "ODT816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410017932",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.