Jeremy L Diamond

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT2748 Issued in TN

Legal business name

JEREMY L DIAMOND

Practice address

741 E Broadway Blvd
Jefferson City, TN 37760-4907

Phone

(865) 475-8680

Fax

(865) 475-8681

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Len Diamond, O.D.

Title

Optometrist

Phone

(423) 200-4425

Specialties & licenses 1

Addresses

Other names 1

• Drs. Morrill and Diamond Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold Eugene Morrill, O.D.

  • Optometrist
  • Jefferson City, TN
  • NPI 1205803582
  NPD (past)

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1316376155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377600247",
            "telephone_number": "865-475-8680",
            "fax_number": "865-475-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604907",
            "telephone_number": "865-475-8680",
            "fax_number": "865-475-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY L DIAMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "LEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "423-200-4425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT2748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Morrill and Diamond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson Family Physicians P C
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• Jefferson Operator LLC
• Jefferson Pulmonary Group
• Kelsey Jenkins, FNP-C
• JJ Beans at Mossy Creek LLC
• Audrey Johnson, DPT
• Kayla Austin Jones, ATC
• K-VA-T Food Stores, Inc.
• Jenna Kaetzel

• Optometrist in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.