Eye Health Partners of Middle TN Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE HEALTH PARTNERS OF MIDDLE TN INC

Practice address

342 22ND Ave N
Nashville, TN 37203-1844

Phone

(615) 327-2001

Fax

(615) 327-2069

NPI assigned

Jun 12, 2006

Last updated

Aug 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

Mr. Mark Wagner

Title

President and Cea

Phone

(615) 234-0450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417999699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-327-2001",
            "fax_number": "615-327-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-327-2001",
            "fax_number": "615-327-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE HEALTH PARTNERS OF MIDDLE TN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT AND CEA",
        "authorized_official_telephone_number": "615-234-0450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Tennessee

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

Verify at the official NPI Registry.