Joey Summers Optical

Primary specialty

OptometristTaxonomy code 152W00000X

License

2150 Issued in TN

Legal business name

JOEY SUMMERS OPTICAL

Practice address

1585 Mallory Lane Suite 104
Brentwood, TN 37027

Phone

(615) 319-5630

NPI assigned

Oct 19, 2015

Last updated

Apr 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joey Summers

Title

Doctor

Phone

(615) 319-5630

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Summers, OD

  • Optometrist
  • Arrington, TN
  • NPI 1902961402
  Medicare reassignment NPD

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1376914150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 MALLORY LN STE 104",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 MALLORY LANE SUITE 104",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-319-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEY SUMMERS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "615-319-5630"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3943591",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bijoy E John, MD
• Erin Chambers Johnsen, AUD
• Ashley Johnson
• Bria Johnson, CNIM

• Optometrist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.