Organization Active NPI

Music City Eye Care LLC

  • Optometrist
  • Murfreesboro, TN
National Provider Identifier
1568851640
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3158 Issued in TN
Legal business name
MUSIC CITY EYE CARE LLC
Practice address
140 Joe B Jackson Parkway
Murfreesboro, TN 37127
Phone
(615) 203-5037
NPI assigned
Jan 13, 2015
Last updated
Dec 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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

Authorized official

Name
Dr. Travis M Johnson, ODNPI 1003890609
Title
Co-Chief
Phone
(651) 230-3554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3158 TN Primary

Addresses

Primary practice location

140 Joe B Jackson Parkway
Murfreesboro, TN 37127

Mailing address

140 Joe B Jackson Parkway
Murfreesboro, TN 37127
Phone (615) 203-5037

Other identifiers 1

IdentifierTypeStateIssuer
Q005853MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150223001325 TN Part B Supplier - Clinic/Group Practice 2163748864 Receives reassigned benefits from 4 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Murfreesboro, TN

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Music City Eye Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639785600000",
    "number": "1568851640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 JOE B JACKSON PARKWAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37127",
            "telephone_number": "615-203-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOE B JACKSON PARKWAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37127",
            "telephone_number": "615-203-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSIC CITY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-CHIEF",
        "authorized_official_telephone_number": "651-230-3554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005853",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.