Individual provider Active NPI

Laura Ellen Volz, O.D.

  • Optometrist
  • Pegram, TN
National Provider Identifier
1467505867
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000002719 Issued in TN
Practice address
4496 Pine Dr
Pegram, TN 37143-2055
Phone
(615) 892-9819
NPI assigned
Jan 19, 2007
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 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 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

IdentifierTypeStateIssuer
046008559MedicaidIL

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
I20170626000976 TN Practitioner - Optometry 4981655008 Reassigns benefits to 1 organization

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
Nash Eye Care PLLCGroup PAC ID 5496812737, 2 clinicians

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

LicenseStateTypeSpecialty
OD0000002719TNMDOptometrist
2719TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
K&M Optical Optometrist Current Accepting new patients
Nash Eye Care PLLC Optometrist CurrentSince Apr 3, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.