Individual provider Active NPI

Alissa Diane Pepelea, O.D.

  • Optometrist
  • Murfreesboro, TN
National Provider Identifier
1417122383
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2866 Issued in TN
Practice address
125 John R Rice Blvd
Murfreesboro, TN 37129-4165
Phone
(615) 904-9460
Fax
(615) 904-1924
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003083A IN
Optometrist 152W00000X 2866 TN Primary

Addresses

Primary practice location

125 John R Rice Blvd
Murfreesboro, TN 37129-4165

Mailing address

231 Rockcastle Dr
Murfreesboro, TN 37128-2958
Phone (317) 289-3189

Other names 1

  • Dr. Alissa Diane Jackson 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
I20130514000196 TN Practitioner - Optometry 8325079452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pepelea Family Eye Care, PLLCGroup PAC ID 6305130493, 2 clinicians

Practice addresses (Care Compare)

125 John R Rice Blvd
Murfreesboro, TN 37129-4165
Phone (615) 904-9460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2866TNMDMarriage & Family Therapist
18003083AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pepelea Family Eye Care PLLC Optometrist CurrentSince Jul 1, 2016 Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Price Eyecare and Optical PLLC Optometrist PastSince May 29, 2022 Accepting new patients

Locations

125 John R Rice Blvd
Murfreesboro, TN 37129
Phone (615) 895-9979

Organizations & group practices 3

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1417122383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ROCKCASTLE DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371282958",
            "telephone_number": "317-289-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JOHN R RICE BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294165",
            "telephone_number": "615-904-9460",
            "fax_number": "615-904-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPELEA",
        "first_name": "ALISSA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003083A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "JACKSON",
            "middle_name": "DIANE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.