Individual provider Active NPI

Terri Denise Anderson, O.D.

  • Optometrist
  • Nashville, TN
National Provider Identifier
1306831409
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1833 Issued in TN
Practice address
457 Donelson Pike
Nashville, TN 37214-3561
Phone
(615) 883-9595
Fax
(615) 883-9691
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1833 TN Primary

Addresses

Primary practice location

457 Donelson Pike
Nashville, TN 37214-3561

Mailing address

457 Donelson Pike
Nashville, TN 37214-3561
Phone (615) 883-9595

Other identifiers 3

IdentifierTypeStateIssuer
3942237MedicaidTN
2240219OtherTNUNITED HEALTH CARE
4012210OtherTNBLUE CROSS BLUE SHIELD

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
I20080421000235 TN Practitioner - Optometry 1052499803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3786 Central Pike
Suite 118
Hermitage, TN 37076-3587
Phone (615) 883-9595

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John E. Anderson Optometrist CurrentSince Jan 29, 2001 Accepting new patients
Donelson Eyecare, PLLC Optometrist Past Accepting new patients

Locations

3786 Central Pike
Ste 118
Hermitage, TN 37076
Phone (615) 883-9595

457 Donelson Pike
Nashville, TN 37214
Phone (615) 883-9595

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1306831409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 DONELSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143561",
            "telephone_number": "615-883-9595",
            "fax_number": "615-883-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 DONELSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143561",
            "telephone_number": "615-883-9595",
            "fax_number": "615-883-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TERRI",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3942237",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2240219",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4012210",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.