Organization Active NPI

William C Smith II OD PC

  • Optometrist
  • Murfreesboro, TN
National Provider Identifier
1467738609
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000000737 Issued in TN
Legal business name
WILLIAM C SMITH II OD PC
Practice address
119 S Academy St
Murfreesboro, TN 37130-3701
Phone
(615) 893-1913
Fax
(615) 893-1917
NPI assigned
Nov 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Leah M Perhac
Title
Insurance Specialist
Phone
(615) 893-1913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD0000000737 TN Primary

Addresses

Primary practice location

119 S Academy St
Murfreesboro, TN 37130-3701

Mailing address

119 S Academy St
Murfreesboro, TN 37130-3701
Phone (615) 893-1913

Other identifiers 4

IdentifierTypeStateIssuer
2000958OtherBLUECROSS BLUESHIELD OF TN
7373989OtherTNCIGNA
2000958OtherTNTENNCARE SELECT
3594994MedicaidTN

National Provider Directory

National Provider Directory

Locations

119 S Academy St
Murfreesboro, TN 37130
Phone (615) 893-1913

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1467738609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S ACADEMY ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303701",
            "telephone_number": "615-893-1913",
            "fax_number": "615-893-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S ACADEMY ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303701",
            "telephone_number": "615-893-1913",
            "fax_number": "615-893-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C SMITH II OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "PERHAC",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "615-893-1913"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000000737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF TN",
            "identifier": "2000958",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7373989",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "2000958",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3594994",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.