Individual provider Active NPI

Jana Lynn Crim, OD

  • Optometrist
  • Franklin, TN
National Provider Identifier
1609834845
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2332 Issued in TN
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

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89093NVMedicaidNC
093NVOtherNCBLUECROSS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130118000028 TN Practitioner - Optometry 8123923133 Reassigns benefits to 1 organization

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
Berry Farms Eyecare PLLCGroup PAC ID 9234416967, 2 clinicians

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

LicenseStateTypeSpecialty
1886NCMDPsychologist
SA27TA592ALMDOptometrist
2332TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jul 19, 2007 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.

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

Verify at the official NPI Registry.