Emy Thompson-Gozum, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

3320 Issued in TN

Practice address

4959 Main St
Spring Hill, TN 37174-2727

Phone

(210) 313-5387

NPI assigned

Jul 5, 2016

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mallard Eye Care, LLCGroup PAC ID 1759716806, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mallard Eye Care, LLC

  • Optometrist
  • Spring Hill, TN
  • NPI 1255760286
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1548612351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 DESERT STORM AVE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235514",
            "telephone_number": "210-313-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742727",
            "telephone_number": "210-313-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-GOZUM",
        "first_name": "EMY",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Oncology, PLLC
• Tennessee Orthopaedic Alliance PA
• Tennessee Orthopaedic Alliance PA
• Tens Plus, LLC
• Mandy P Thames, PHARMD
• Masako Tidrow, FNP-BC
• Brittney Elise Till, CF-SLP
• Megan Marie Tisdale, DPT
• TN Doctors of Optometry, PLLC
• TN Home Care LLC

• Optometrist in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.