Organization Active NPI

Urban Gaze Inc

  • Optometrist
  • Hermitage, TN
National Provider Identifier
1528829371
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
URBAN GAZE INC
Practice address
2532 River Trail Dr
Hermitage, TN 37076-1479
Phone
(615) 638-4016
NPI assigned
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Chase Terrell Parker, ODNPI 1013263474
Title
Optometrist
Phone
(615) 638-4016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2532 River Trail Dr
Hermitage, TN 37076-1479

Mailing address

2532 River Trail Dr
Hermitage, TN 37076-1479
Phone (615) 638-4016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250304001368 TN Part B Supplier - Clinic/Group Practice 9638690993 Receives reassigned benefits from 1 practitioner
Practice locations: Antioch, TN

National Provider Directory

National Provider Directory

Locations

2141 Century Farms Pkwy
Ste 2005
Antioch, TN 37013
Phone (615) 638-4016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1528829371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 RIVER TRAIL DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761479",
            "telephone_number": "615-638-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 RIVER TRAIL DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761479",
            "telephone_number": "615-638-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN GAZE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "615-638-4016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.