K&M Optical

Primary specialty

OptometristTaxonomy code 152W00000X

License

2719 Issued in TN

Legal business name

K&M OPTICAL

Doing business as

Visionary Eyeworks

Practice address

73 White Bridge Rd Ste 105
Nashville, TN 37205-1444

Phone

(615) 353-0434

Fax

(615) 352-6080

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Samantha Perrone

Title

Credentialing Manager

Phone

(931) 436-0555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visionary Eyeworks Doing business as

Practitioners 1

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

• Laura Ellen Volz, O.D.

  • Optometrist
  • Pegram, TN
  • NPI 1467505867
  NPD

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1518467778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 WHITE BRIDGE RD STE 105",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051444",
            "telephone_number": "615-353-0434",
            "fax_number": "615-352-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 WHITE BRIDGE RD STE 105",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051444",
            "telephone_number": "615-353-0434",
            "fax_number": "615-352-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&M OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "PERRONE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "931-436-0555"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033960",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Eyeworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin R Poff DDS, PLLC
• Alice Justiss, LDN, LPC
• Hillary Justmann, APRN
• Alexandria Lenyo Justus, MD
• JZB Enterprises, LLC
• Abdul Hadi Kaakour, M.D.
• Julie Suzanne Kaalberg, M.S.
• Kabafusion TN, LLC
• Nikita Kabanov
• Stacy Kaber

• 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 Feb 14, 2018; 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.