Active NPI
Jana Lynn Crim, OD
- Optometrist
- Franklin, TN
National Provider Identifier
1609834845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2332
- Practice address
- 40 Moss LN Ste 110
Franklin, TN 37064-1455 - Phone
- (615) 905-8190
- Fax
- (615) 905-8938
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1886 | NC | |
| Optometrist | 152W00000X | SA27TA592 | AL | |
| Optometrist | 152W00000X | 2332 | TN | Primary |
Addresses
Primary practice location
40 Moss LN Ste 110
Franklin, TN 37064-1455
Mailing address
40 Moss LN Ste 110
Franklin, TN 37064-1455
Phone (615) 905-8190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89093NV | Medicaid | NC | |
| 093NV | Other | NC | BLUECROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- North Carolina Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Moss LN
Suite 110
Franklin, TN 37064-1455
Phone (615) 905-8190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1886 | NC | MD | Psychologist |
| SA27TA592 | AL | MD | Optometrist |
| 2332 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Optometry, PLLC | Optometrist | Current | Accepting new patients |
| Stephen J. Kaluzne, O.D.,PA | Optometrist | Past | Accepting new patients |
| Donelson Eyecare, PLLC | Optometrist | Past | Accepting new patients |
| Cool Springs Eyecare, PLLC | Optometrist | Past | Accepting new patients |
Locations
1116 Crossroads Dr
Statesville, NC 28625
Phone (704) 871-9824
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Franklin, TN
- NPI 1003359233
-
- Optometrist
- Statesville, NC
- NPI 1639137888
-
- Optometrist
- Franklin, TN
- NPI 1104968817
-
- Optometrist
- Nashville, TN
- NPI 1548302854
-
- Optometrist
- Winston Salem, NC
- NPI 1992808703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1609834845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MOSS LN STE 110",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370641455",
"telephone_number": "615-905-8190",
"fax_number": "615-905-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MOSS LN STE 110",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370641455",
"telephone_number": "615-905-8190",
"fax_number": "615-905-8938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIM",
"first_name": "JANA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2022-09-05",
"certification_date": "2022-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1886",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "SA27TA592",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89093NV",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "093NV",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.