Active NPI
Robert D Remke, OD
- Optometrist
- Lawrenceburg, TN
National Provider Identifier
1306942412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD1171
- Practice address
- 250 N Military Ave
Lawrenceburg, TN 38464-3326 - Phone
- (931) 762-5595
- Fax
- (931) 766-2273
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD1171 | TN | Primary |
Addresses
Primary practice location
250 N Military Ave
Lawrenceburg, TN 38464-3326
Mailing address
250 N Military Ave
PO Box 620
Lawrenceburg, TN 38464-3326
Phone (931) 762-5595
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3596506 | Medicaid | TN | |
| 150348 | Other | TN | BCBS |
| TN0102 | Other | TN | AMERICHOICE |
| 10066983 | Other | TN | AMERIGROUP |
| 150348 | Other | TN | TNCARE SELECT |
| 2240212 | Other | TN | UNITED HEALTHCARE |
| 8842110 | Other | TN | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University | Past | Accepting new patients | |
| Advanced Eyecare Clinic LLC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Lewisburg, TN
- NPI 1770625204
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1235154972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1306942412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N MILITARY AVE",
"address_2": "PO BOX 620",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643326",
"telephone_number": "931-762-5595",
"fax_number": "931-766-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N MILITARY AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643326",
"telephone_number": "931-762-5595",
"fax_number": "931-766-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMKE",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD1171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3596506",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "150348",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "TN0102",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10066983",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TNCARE SELECT",
"identifier": "150348",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2240212",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8842110",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.