Active NPI
William D. Schenk
- Ophthalmology Physician
- Lebanon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16211
- Practice address
- 1670 W Main St
Ste 100
Lebanon, TN 37087-1344 - Phone
- (615) 453-5155
- Fax
- (615) 444-5915
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16211 | TN | Primary |
Addresses
Primary practice location
1670 W Main St
Ste 100
Lebanon, TN 37087-1344
Mailing address
1670 W Main St
Ste100
Lebanon, TN 37087-1344
Phone (615) 444-4516
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180003265 | Other | TN | PALMETTO GBA |
| 000047586 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3013671 | Other | TN | HEALTHSPRING |
| 000047586 | Other | TN | TENNCARE SELECT |
| 1238610001 | Other | TN | DMERC |
| 000047586 | Other | TN | BCBS ADVANTAGE |
| 3180072 | Other | TN | CIGNA |
| 3013671 | Medicaid | TN | |
| 4065477 | Other | TN | AETNA PPO |
| 621298175 | Other | TN | DEFAULT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16211 | TN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University Medical Center | Ophthalmology | Current | Accepting new patients |
| Lebanon Eye Associates | Past | Accepting new patients | |
| Wilson County Eye Surgery Center, LLC | Past | Accepting new patients |
Locations
Dept AT 40379
Atlanta, GA 31192
Dept A T 40379
Atlanta, GA 31192
200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034
2105 Edward Curd Ln
Franklin, TN 37067
Phone (615) 791-7250
1670 W Main St
Ste 120
Lebanon, TN 37087
Phone (615) 453-4906
1670 W Main St
Ste 100
Lebanon, TN 37087
Phone (615) 449-6464
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871
Organizations & group practices 3
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.
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
Ophthalmology
-
dba The Eye Center
- Durable Medical Equipment & Medical Supplies
- Lebanon, TN
- NPI 1386857647
-
dba Wilson County Anesthesia
- Anesthesiology Physician
- Lebanon, TN
- NPI 1326171794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1306847009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 W MAIN ST",
"address_2": "STE100",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871344",
"telephone_number": "615-444-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 W MAIN ST",
"address_2": "STE 100",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871344",
"telephone_number": "615-453-5155",
"fax_number": "615-444-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENK",
"first_name": "WILLIAM",
"middle_name": "D.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "16211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "180003265",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000047586",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING",
"identifier": "3013671",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE SELECT",
"identifier": "000047586",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "1238610001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ADVANTAGE",
"identifier": "000047586",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3180072",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3013671",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4065477",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEFAULT",
"identifier": "621298175",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.