Active NPI
Marianne Johnson, O.D.
- Optometrist
- Nashville, TN
National Provider Identifier
1376900555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TN3297
- Practice address
- 1801 W End Ave Ste 1150
Nashville, TN 37203-2528 - Phone
- (615) 321-8881
- NPI assigned
- Jan 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2001DT | KY | |
| Optometrist | 152W00000X | TN3297 | TN | Primary |
Addresses
Primary practice location
1801 W End Ave Ste 1150
Nashville, TN 37203-2528
Mailing address
129 E Clark Blvd
Apt 28303
Murfreesboro, TN 37130-2112
Phone (615) 893-8847
Other practice location 1
129 E Clark Blvd
Apt 28303
Murfreesboro, TN 37130-2112
Phone (615) 893-8847
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5429 Edmondson Pike
Nashville, TN 37211-5806
Phone (615) 331-8688
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyeconic Eye Center, Inc | Optometrist | Current | Accepting new patients |
Locations
1300 Antioch Pike
Nashville, TN 37211
Phone (615) 834-3255
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
- Nashville, TN
- NPI 1114043189
-
- Optometrist
- Nashville, TN
- NPI 1669918181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1376900555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 E CLARK BLVD",
"address_2": "APT 28303",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302112",
"telephone_number": "615-893-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W END AVE STE 1150",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032528",
"telephone_number": "615-321-8881"
}
],
"practiceLocations": [
{
"address_1": "129 E CLARK BLVD",
"address_2": "Apt 28303",
"address_purpose": "LOCATION",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302112",
"country_code": "US",
"telephone_number": "615-893-8847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARIANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "2001DT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "TN3297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.