Individual provider Active NPI

Jami Ann White, O.D.

  • Optometrist
  • Murfreesboro, TN
National Provider Identifier
1457458416
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2225 Issued in TN
Practice address
2615 Medical Center Pkwy Ste 1765
Murfreesboro, TN 37129-3666
Phone
(615) 907-0433
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2225 TN Primary

Addresses

Primary practice location

2615 Medical Center Pkwy Ste 1765
Murfreesboro, TN 37129-3666

Mailing address

4324 Maximillion Cir
Murfreesboro, TN 37128-4270
Phone (865) 307-1643

Other identifiers 9

IdentifierTypeStateIssuer
28230OtherTNMEDICAL EYE SERVICES
11497715OtherTNCAQH
2225OtherTNSTATE LICENSE
923807/103444OtherTNHEALTH SPRING
4094505OtherTNBC/BS
51699OtherTNDAVIS VISION
65819OtherTNOPTUM HEALTH
A05398OtherTNEYEMED
3944825MedicaidTN

Other names 1

  • Jami Kozlowski 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
I20190321001508 TN Practitioner - Optometry 4385607472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murfreesboro Eye Center PLLCGroup PAC ID 3971974833, 6 clinicians

Practice addresses (Care Compare)

2615 Medical Ctr Pkwy
Suite 1765
Murfreesboro, TN 37129-3666
Phone (419) 953-6993

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Eye Center PLLC Optometrist CurrentSince Nov 29, 2023 Accepting new patients
Oak Ridge Optical Dispensary Past Accepting new patients

Locations

2615 Medical Center Pkwy
Ste 1765
Murfreesboro, TN 37129
Phone (419) 953-6993

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1457458416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 MAXIMILLION CIR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284270",
            "telephone_number": "865-307-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 MEDICAL CENTER PKWY STE 1765",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293666",
            "telephone_number": "615-907-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAMI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "28230",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11497715",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2225",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPRING",
            "identifier": "923807/103444",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4094505",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "51699",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH",
            "identifier": "65819",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "A05398",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3944825",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMI",
            "last_name": "KOZLOWSKI",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.