NPIMap

Organization Active NPI

John J Maria OD PC

  • Optometrist
  • Dover, TN
National Provider Identifier
1275730343
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1471 Issued in TN
Legal business name
JOHN J MARIA OD PC
Practice address
1306 Donelson Pkwy
Dover, TN 37058-3753
Phone
(931) 232-5118
Fax
(931) 232-0581
NPI assigned
Jun 30, 2007
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. John Maria, O.D.NPI 1477586675
Title
Owner
Phone
(931) 232-5118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1471 TN Primary

Addresses

Primary practice location

1306 Donelson Pkwy
Dover, TN 37058-3753

Mailing address

PO Box 423
Dover, TN 37058-0423
Phone (931) 232-5118

Other identifiers 1

IdentifierTypeStateIssuer
3945690MedicaidTN

National Provider Directory

National Provider Directory

Locations

78 Dover Crossing Rd
Clarksville, TN 37042
Phone (931) 645-0346

1306 Donelson Pkwy
Dover, TN 37058
Phone (631) 232-5118

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1183161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1275730343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370580423",
            "telephone_number": "931-232-5118",
            "fax_number": "931-232-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 DONELSON PKWY",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370583753",
            "telephone_number": "931-232-5118",
            "fax_number": "931-232-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J MARIA OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-30",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MARIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-232-5118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3945690",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.