Individual provider Active NPI

James M Judd, O.D.

  • Optometrist
  • Goodlettsville, TN
National Provider Identifier
1467553867
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD2275 Issued in TN
Practice address
520 Rivergate Pkwy
Goodlettsville, TN 37072-2030
Phone
(615) 859-3937
Fax
(615) 859-3919
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2275 TN
Optometrist 152W00000X OD2275 TN Primary

Addresses

Primary practice location

520 Rivergate Pkwy
Goodlettsville, TN 37072-2030

Mailing address

900 Conference Dr
Ste 15B
Goodlettsville, TN 37072-1909
Phone (615) 859-3937

Other identifiers 3

IdentifierTypeStateIssuer
4070788OtherTNBCBS OF TENNESSEE
4194091OtherTNCIGNA HEALTHCARE
4076007OtherTNBLUE CROSS BLUE SHIELD OF TENNESSEE

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
I20040419000742 TN Practitioner - Optometry 3173518149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James C Loden MD PCGroup PAC ID 3870405244, 12 clinicians

Practice addresses (Care Compare)

520 Rivergate Pkwy
Goodlettsville, TN 37072-2030
Phone (615) 859-3937

900 Conference Dr
Suite 15B
Goodlettsville, TN 37072-1909
Phone (615) 859-1912

Merit-based Incentive Payment System (MIPS)

Final score
91.13 of 100Reported as group
Quality
94.74
Improvement activities
40
Cost
77.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD2275TNMDOptometrist
2275TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
James C. Loden, MD PC CurrentSince Nov 28, 2016 Accepting new patients
John J Maria OD PC Optometrist PastSince Jul 5, 2017 Accepting new patients
Clarksville Eye Clinic LLC Optometrist Past Accepting new patients
Clarksville Sportsmed & Wellness Past Accepting new patients

Locations

1198 Nashville Pike
Gallatin, TN 37066
Phone (615) 452-1201

520 Rivergate Pkwy
Goodlettsvlle, TN 37072
Phone (615) 859-3937

2501 Hillsboro Rd
Nashville, TN 37212
Phone (615) 383-7778

101 Movie Row
Smyrna, TN 37167
Phone (615) 859-3937

Organizations & group practices 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1467553867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CONFERENCE DR",
            "address_2": "STE 15B",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721909",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PKWY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2275",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD2275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "4070788",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "4194091",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "4076007",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.