Active NPI
Laura Ellen Volz, O.D.
- Optometrist
- Pegram, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD0000002719
- Practice address
- 4496 Pine Dr
Pegram, TN 37143-2055 - Phone
- (615) 892-9819
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD0000002719 | TN | Primary |
Addresses
Primary practice location
4496 Pine Dr
Pegram, TN 37143-2055
Mailing address
4496 Pine Dr
Pegram, TN 37143-2055
Phone (615) 892-9819
Other practice location 1
73 White Bridge Rd
Ste 105
Nashville, TN 37205-1444
Phone (615) 353-0434
Other practice location 2
335 24th Ave N
Nashville, TN 37203-1503
Phone (615) 892-9819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046008559 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7100 Adams Dr
Fairview, TN 37062-7237
Phone (615) 799-8439
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD0000002719 | TN | MD | Optometrist |
| 2719 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K&M Optical | Optometrist | Current | Accepting new patients |
| Nash Eye Care PLLC | Optometrist | Current | Accepting new patients |
| Dental Safari Co Missouri, PC | Current | Accepting new patients | |
| Moreland Eyecare LLC | Optometrist | Past | Accepting new patients |
| Clarkson Optometry Inc | Optometrist | Past | Accepting new patients |
| Saum Burruss Optometry Inc | Optometrist | Past | Accepting new patients |
Locations
7100 Adams Dr
Fairview, TN 37062
Phone (615) 799-1927
73 White Bridge Pike
Ste 105
Nashville, TN 37205
Phone (615) 353-0434
Interoperability endpoints
- laura.volz@uprisedirect.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Fairview, TN
- NPI 1578717450
-
- Dentist
- O'Fallon, MO
- NPI 1811761190
-
- Optometrist
- Anna, IL
- NPI 1346468717
-
dba Clear Vision Family Eye Care
- Optometrist
- Carbondale, IL
- NPI 1780766378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1467505867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4496 PINE DR",
"city": "PEGRAM",
"state": "TN",
"postal_code": "371432055",
"telephone_number": "615-892-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4496 PINE DR",
"city": "PEGRAM",
"state": "TN",
"postal_code": "371432055",
"telephone_number": "615-892-9819"
}
],
"practiceLocations": [
{
"address_1": "73 White Bridge Rd",
"address_2": "Ste 105",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372051444",
"country_code": "US",
"telephone_number": "615-353-0434",
"fax_number": "615-352-6080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 24th Ave N",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372031503",
"country_code": "US",
"telephone_number": "615-892-9819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOLZ",
"first_name": "LAURA",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000002719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008559",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pegram, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.