Individual provider Active NPI

Jennifer Gibson Uhl, O.D.

  • Optometrist
  • Hendersonville, TN
National Provider Identifier
1477570349
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T2636 Issued in TN
Practice address
131 Indian Lake Rd
Hendersonville, TN 37075-3866
Phone
(615) 824-5486
Fax
(615) 824-1770
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T2636 TN Primary

Addresses

Primary practice location

131 Indian Lake Rd
Hendersonville, TN 37075-3866

Mailing address

131 Indian Lake Rd
Hendersonville, TN 37075-3866
Phone (615) 824-5486

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
I20070208000406 TN Practitioner - Optometry 3870595531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Source of Hendersonville PLLCGroup PAC ID 4789766759, 3 clinicians

Practice addresses (Care Compare)

100 Country Club Dr
Suite 106
Hendersonville, TN 37075-4099
Phone (615) 824-4246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T2636TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Source of Hendersonville Optometrist CurrentSince Oct 6, 2018 Accepting new patients

Locations

100 Country Club Dr
Hendersonville, TN 37075

100 Country Club Dr
Ste 106
Hendersonvlle, TN 37075
Phone (615) 818-4309

Organizations & group practices 1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477570349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753866",
            "telephone_number": "615-824-5486",
            "fax_number": "615-824-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753866",
            "telephone_number": "615-824-5486",
            "fax_number": "615-824-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHL",
        "first_name": "JENNIFER",
        "middle_name": "GIBSON",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T2636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.