Individual provider Active NPI

Paul Douglas Trapeni Jr., O.D.

  • Optometrist
  • Smyrna, TN
National Provider Identifier
1376605303
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
941-ODT Issued in TN
Practice address
23 N Lowry St
Smyrna, TN 37167-2525
Phone
(615) 459-0675
Fax
(615) 459-6401
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 941-ODT TN Primary

Addresses

Primary practice location

23 N Lowry St
Smyrna, TN 37167-2525

Mailing address

23 N Lowry St
Smyrna, TN 37167-2525
Phone (615) 459-0675

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
I20090203000737 TN Practitioner - Optometry 9638233752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 N Lowry St
Smyrna, TN 37167-2525
Phone (615) 459-0675

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
941TNMDBehavioral Analyst
941-ODTTNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Optical Shoppe PLLC Optometrist CurrentSince May 13, 2013 Accepting new patients

Locations

23 N Lowry St
Smyrna, TN 37167
Phone (615) 459-0675

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1376605303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N LOWRY ST",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371672525",
            "telephone_number": "615-459-0675",
            "fax_number": "615-459-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N LOWRY ST",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371672525",
            "telephone_number": "615-459-0675",
            "fax_number": "615-459-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAPENI",
        "first_name": "PAUL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "941-ODT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.