Ophthalmic Plastic Surgical Assoc PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD000005223 Issued in TN

Legal business name

OPHTHALMIC PLASTIC SURGICAL ASSOC PC

Practice address

401 Daffodil CT
Franklin, TN 37064-4712

Phone

(901) 483-1217

Fax

(615) 807-1979

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mona Walker Beale

Title

Secretary

Phone

(901) 483-1217

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1508907221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DAFFODIL CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644712",
            "telephone_number": "901-483-1217",
            "fax_number": "615-807-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DAFFODIL CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644712",
            "telephone_number": "901-483-1217",
            "fax_number": "615-807-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC PLASTIC SURGICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "BEALE",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "901-483-1217",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD000005223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3386525",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise D. Ondrejcak, MS, RD, LDN
• Ferdo Renardi Ong, M.D.
• Sowmini Oomman, MD
• Op Services
• Victoria Madison Operle
• Optique Franklin, PLLC
• Optum Pharmacy 705, LLC
• Oral Surgical Institute, P.C.
• Kristin Marie Orban, PHYSICIAN ASSISTANT
• Orgain Pharmacy

• Ophthalmology Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.