Individual provider Active NPI

Marianne Johnson, O.D.

  • Optometrist
  • Nashville, TN
National Provider Identifier
1376900555
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TN3297 Issued in TN
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

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107000938 TN Practitioner - Optometry 8325330343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Optometry Unlimited, LLCGroup PAC ID 7517170012, 4 clinicians

Practice addresses (Care Compare)

5429 Edmondson Pike
Nashville, TN 37211-5806
Phone (615) 331-8688

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeconic Eye Center, Inc Optometrist CurrentSince May 27, 2017 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.

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

Verify at the official NPI Registry.