Active NPI
Louis Ward Close, M.D.
- Ophthalmology Physician
- Dickson, TN
National Provider Identifier
1497787097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD9673
- Practice address
- 112 Highway 70 E
Dickson, TN 37055-2034 - Phone
- (615) 446-9988
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9673 | TN | MD | Dentist |
| MD9673 | TN | MD | Ophthalmology Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD9673 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
112 Highway 70 E
Dickson, TN 37055-2034
Mailing address
112 Highway 70 E
Dickson, TN 37055-2034
Phone (615) 446-9988
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3168948 | Medicaid | TN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497787097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HIGHWAY 70 E",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552034",
"telephone_number": "615-446-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HIGHWAY 70 E",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552034",
"telephone_number": "615-446-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOSE",
"first_name": "LOUIS",
"middle_name": "WARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "MD9673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3168948",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.