Organization Active NPI

Nashville Eye Center LLC

  • Optometrist
  • Nashville, GA
National Provider Identifier
1437357134
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002384 Issued in GA
Legal business name
NASHVILLE EYE CENTER LLC
Practice address
205 W McPherson Ave
Nashville, GA 31639-2131
Phone
(229) 686-3937
Fax
(229) 686-3937
NPI assigned
Jul 5, 2007
Last updated
Mar 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Andrew Wayne Solomon, O.D.NPI 1023216868
Title
Doctor - Manager
Phone
(229) 686-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002384 GA Primary

Addresses

Primary practice location

205 W McPherson Ave
Nashville, GA 31639-2131

Mailing address

PO Box 27
Nashville, GA 31639-0027
Phone (229) 686-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071129000104 GA Part B Supplier - Clinic/Group Practice 1456440403 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, GA

National Provider Directory

National Provider Directory

Locations

104 N Dogwood Dr
Nashville, GA 31639
Phone (229) 237-0655

205 W McPherson Ave
Nashville, GA 31639
Phone (229) 686-3937

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1437357134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316390027",
            "telephone_number": "229-686-3937",
            "fax_number": "229-686-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MCPHERSON AVE",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392131",
            "telephone_number": "229-686-3937",
            "fax_number": "229-686-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DOCTOR - MANAGER",
        "authorized_official_telephone_number": "229-686-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.