Individual provider Active NPI

Alette Howard Davis, O.D.

  • Optometrist
  • Hermitage, TN
National Provider Identifier
1346401007
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT2817 Issued in TN
Practice address
4761 Andrew Jackson Pkwy Ste 108
Hermitage, TN 37076-1354
Phone
(901) 857-5777
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT2817 TN Primary

Addresses

Primary practice location

4761 Andrew Jackson Pkwy Ste 108
Hermitage, TN 37076-1354

Mailing address

4761 Andrew Jackson Pkwy Ste 108
Hermitage, TN 37076-1354
Phone (901) 857-5777

Other names 1

  • Alette Howard Former name

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
I20080924000384 TN Practitioner - Optometry 6608943238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4761 Andrew Jackson Pkwy
Suite 108
Hermitage, TN 37076-1354
Phone (615) 891-1243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODT2817TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Center LLC Optometrist CurrentSince Jan 1, 2011 Accepting new patients
Eyecare Plus CS PLLC Optometrist PastSince Oct 15, 2004 Accepting new patients
Eyecare Plus GH PLLC Optometrist PastSince Sep 1, 2003 Accepting new patients
Eyecare Plus HH, PLLC Optometrist PastSince Sep 1, 2003 Accepting new patients
Eyecare Plus CL PLLC Optometrist PastSince Oct 14, 2006 Accepting new patients
Eyecare Plus Ca,PLLC Optometrist PastSince Jul 20, 2008 Accepting new patients
Eyecare Plus HV PLLC Optometrist PastSince Aug 2, 2004 Accepting new patients

Locations

4761 Andrew Jackson Pkwy
Ste 108
Hermitage, TN 37076
Phone (615) 889-9906

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1346401007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 ANDREW JACKSON PKWY STE 108",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761354",
            "telephone_number": "901-857-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 ANDREW JACKSON PKWY STE 108",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761354",
            "telephone_number": "901-857-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALETTE",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT2817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALETTE",
            "last_name": "HOWARD",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.