Active NPI
Stuart William Nieber, OD
- Optometrist
- Franklin, TN
National Provider Identifier
1326092255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD1214
- Practice address
- 330 Mayfield Dr Ste D2
Franklin, TN 37067-6302 - Phone
- (615) 771-0068
- Fax
- (615) 771-9784
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | OD1214 | TN | Primary |
Addresses
Primary practice location
330 Mayfield Dr Ste D2
Franklin, TN 37067-6302
Mailing address
330 Mayfield Dr Ste D2
Franklin, TN 37067-6302
Phone (615) 771-0068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3125709 | Other | TN | BLUE CROSS BLUE SHIELD TN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1214 | TN | MD | Marriage & Family Therapist |
| OD1214 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1326092255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MAYFIELD DR STE D2",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676302",
"telephone_number": "615-771-0068",
"fax_number": "615-771-9784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MAYFIELD DR STE D2",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676302",
"telephone_number": "615-771-0068",
"fax_number": "615-771-9784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEBER",
"first_name": "STUART",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD1214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "3125709",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.