Organization Active NPI

Elena Collier

  • Optometrist
  • Hendersonville, TN
National Provider Identifier
1477924587
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2848 Issued in TN
Legal business name
ELENA COLLIER
Practice address
1101 Forest Retreat Rd
Hendersonville, TN 37075-2272
Phone
(615) 379-9881
Fax
(615) 581-1928
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Dr. Elena Collier, ODNPI 1457597510
Title
Member/Owner
Phone
(615) 438-6322

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 2848 TN Primary

Addresses

Primary practice location

1101 Forest Retreat Rd
Hendersonville, TN 37075-2272

Mailing address

1101 Forest Retreat Rd
Hendersonville, TN 37075-2272
Phone (615) 379-9881

Other identifiers 2

IdentifierTypeStateIssuer
Q016936MedicaidTN
Q018929MedicaidTN

Other names 1

  • Collier Eyecare, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151204000110 TN Part B Supplier - Clinic/Group Practice 7618277229 Receives reassigned benefits from 3 practitioners
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory

Locations

1101 Forest Retreat Rd
Ofc
Hendersonvlle, TN 37075

225 Wilkinson Ln
White House, TN 37188
Phone (615) 672-2881

Practitioners & affiliated clinicians

Practitioners 3

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": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1477924587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FOREST RETREAT RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752272",
            "telephone_number": "615-379-9881",
            "fax_number": "615-581-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FOREST RETREAT RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752272",
            "telephone_number": "615-379-9881",
            "fax_number": "615-581-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA COLLIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "615-438-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q016936",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018929",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collier Eyecare, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.