Individual provider Active NPI

Jin Qian, O.D

  • Optometrist
  • Franklin, TN
National Provider Identifier
1629349147
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000003353 Issued in TN
Practice address
211 Terri Park Way
Suite 302
Franklin, TN 37067-5099
Phone
(713) 366-6270
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0000003353 TN Primary

Addresses

Primary practice location

211 Terri Park Way
Suite 302
Franklin, TN 37067-5099

Mailing address

211 Terri Park Way
Suite 302
Franklin, TN 37067-5099
Phone (713) 366-6270

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
I20170725003103 TN Practitioner - Optometry 6608037726 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD0000003353TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince May 19, 2018 Accepting new patients
Dr. Mark Lynn & Associates, PLLC Optometrist CurrentSince May 19, 2018 Accepting new patients
Keith C Chang MD PLLC PastSince Apr 3, 2012 Accepting new patients

Locations

1701 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-2000

115 Mall Circle Dr
Ste A
Murfreesboro, TN 37129
Phone (615) 895-7090

2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1629349147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 TERRI PARK WAY",
            "address_2": "SUITE 302",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675099",
            "telephone_number": "713-366-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TERRI PARK WAY",
            "address_2": "SUITE 302",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675099",
            "telephone_number": "713-366-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIAN",
        "first_name": "JIN",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000003353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.