Health Care for Life TN, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HEALTH CARE FOR LIFE TN, LLC

Practice address

301 S Perimeter Park Dr
Ste 100-21
Nashville, TN 37211-4143

Phone

(615) 781-4238

Fax

(888) 706-7798

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stuart M Greenberg, O.D.

Title

Partner/Member

Phone

(256) 332-5440

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 7

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

• Molly Lee, O.D.

  • Optometrist
  • Medina, TN
  • NPI 1083755037
  Medicare reassignment NPD
• Aaron Michael Owens, D.P.M.

  • Foot Surgery Podiatrist
  • Columbia, TN
  • NPI 1144420118
  Medicare reassignment NPD
• Charles Anthony Thomason, O.D.

  • Optometrist
  • Huntingdon, TN
  • NPI 1063585677
  Medicare reassignment NPD
• Nash Ditmetaroj, OD

  • Optometrist
  • Jonesboro, GA
  • NPI 1730520321

  TN

  Medicare reassignment NPD
• Mario S. Dickens, DPM

  • Podiatrist
  • Chattanooga, TN
  • NPI 1902843154
  Medicare reassignment
• Jeffrey Carr Jessup, O.D.

  • Optometrist
  • Nashville, TN
  • NPI 1104982701
  NPD
• Sachie Hase Craig, O.D.

  • Optometrist
  • Nashville, TN
  • NPI 1518264969
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1497017586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PERIMETER PARK DR",
            "address_2": "STE 100-21",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114143",
            "telephone_number": "615-781-4238",
            "fax_number": "888-706-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S PERIMETER PARK DR",
            "address_2": "STE 100-21",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114143",
            "telephone_number": "615-781-4238",
            "fax_number": "888-706-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE FOR LIFE TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER/MEMBER",
        "authorized_official_telephone_number": "256-332-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530192",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Nashville, TN
• Providers in Nashville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.