Organization Active NPI

Walter L. Choate, O.D.

  • Optometrist
  • Goodlettsville, TN
National Provider Identifier
1508004441
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T716 Issued in TN
Legal business name
WALTER L. CHOATE, O.D.
Practice address
306 Northcreek Blvd
Ste.101
Goodlettsville, TN 37072-2086
Phone
(615) 851-7575
Fax
(615) 851-8725
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Ms. Deborah Sims Choate
Title
Practice Coordinator
Phone
(615) 851-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T716 TN Primary

Addresses

Primary practice location

306 Northcreek Blvd
Ste.101
Goodlettsville, TN 37072-2086

Mailing address

306 Northcreek Blvd
Ste.101
Goodlettsville, TN 37072-2086
Phone (615) 851-7575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110920000474 TN Part B Supplier - Clinic/Group Practice 3072533470 Receives reassigned benefits from 2 practitioners
Practice locations: Goodlettsville, TN

National Provider Directory

National Provider Directory

Locations

306 Northcreek Blvd
Ste 101
Goodlettsvlle, TN 37072
Phone (615) 851-7575

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": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1508004441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 NORTHCREEK BLVD",
            "address_2": "STE.101",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722086",
            "telephone_number": "615-851-7575",
            "fax_number": "615-851-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 NORTHCREEK BLVD",
            "address_2": "STE.101",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722086",
            "telephone_number": "615-851-7575",
            "fax_number": "615-851-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER L. CHOATE, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "CHOATE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "SIMS",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "615-851-7575",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.