Tennessee Oculoplastic Consultants, PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

43691 Issued in TN

Legal business name

TENNESSEE OCULOPLASTIC CONSULTANTS, PLC

Doing business as

Tennessee Oculoplastic Consultants

Practice address

343 Franklin Rd
Suite 204
Brentwood, TN 37027-5250

Phone

(615) 861-9866

Fax

(615) 905-4946

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mark R Melson, M.D.

Title

President

Phone

(615) 861-9866

Specialties & licenses 1

Addresses

Other names 1

• Tennessee Oculoplastic Consultants Doing business as

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1427461722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 FRANKLIN RD",
            "address_2": "SUITE 204",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275250",
            "telephone_number": "615-861-9866",
            "fax_number": "615-905-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FRANKLIN RD",
            "address_2": "SUITE 204",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275250",
            "telephone_number": "615-861-9866",
            "fax_number": "615-905-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE OCULOPLASTIC CONSULTANTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "MELSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-861-9866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "43691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Oculoplastic Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.