Organization Active NPI

Novel Eye Care, PLLC

  • Optometrist
  • Nashville, TN
National Provider Identifier
1477301554
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NOVEL EYE CARE, PLLC
Doing business as
Novel Eye Care
Practice address
1800 State St
Nashville, TN 37203-2206
Phone
(615) 709-8867
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Julianne Koch, ODNPI 1780007427
Title
Ceo
Phone
(479) 806-6688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1800 State St
Nashville, TN 37203-2206

Mailing address

1600 Straightway Ave
Nashville, TN 37206-2212
Phone (615) 570-9886

Other names 1

  • Novel Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808002410 TN Part B Supplier - Clinic/Group Practice 0547707457 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

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": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1477301554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STRAIGHTWAY AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372062212",
            "telephone_number": "615-570-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 STATE ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032206",
            "telephone_number": "615-709-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEL EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-806-6688",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novel Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.