Individual provider Active NPI

David Afshin Gavami, OD

  • Optometrist
  • Brentwood, TN
National Provider Identifier
1285799155
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1855 Issued in TN
Practice address
7909 Concord Hills Dr
Ste 101
Brentwood, TN 37027-8877
Phone
(615) 941-2020
Fax
(615) 941-3937
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1855 TN Primary

Addresses

Primary practice location

7909 Concord Hills Dr
Ste 101
Brentwood, TN 37027-8877

Mailing address

7909 Concord Hills Dr Ste 101
Brentwood, TN 37027-8877
Phone (615) 941-2020

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
I20070730000662 TN Practitioner - Optometry 6608977905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1855TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pepelea Family Eye Care PLLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Calvert Opthalmology PSC Past Accepting new patients

Locations

125 John R Rice Blvd
Murfreesboro, TN 37129
Phone (615) 895-9979

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1285799155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 CONCORD HILLS DR STE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278877",
            "telephone_number": "615-941-2020",
            "fax_number": "615-941-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 CONCORD HILLS DR",
            "address_2": "STE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278877",
            "telephone_number": "615-941-2020",
            "fax_number": "615-941-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVAMI",
        "first_name": "DAVID",
        "middle_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.