Dr Garrett C Shepherd

Primary specialty

OptometristTaxonomy code 152W00000X

License

2600 Issued in TN

Legal business name

DR GARRETT C SHEPHERD

Doing business as

Huddleston & Shepherd Family Vision
Smith County Advanced Eye Care

Practice address

45 N Dixie Ave
Cookeville, TN 38501

Phone

(931) 526-2022

Fax

(931) 528-1230

NPI assigned

Jun 6, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garrett C Shepherd, ODNPI 1609827542

Title

Owner, Doctor

Phone

(931) 526-2022

Specialties & licenses 1

Addresses

Other names 2

• Huddleston & Shepherd Family Vision Doing business as
• Smith County Advanced Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Garrett Clark Shepherd, O.D.

  • Optometrist
  • Cookeville, TN
  • NPI 1609827542
  Medicare reassignment Care Compare group NPD Authorized official
• Jonathan Adam Coble, O.D.

  • Optometrist
  • Cookeville, TN
  • NPI 1689009177
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1629560438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N DIXIE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013372",
            "telephone_number": "931-526-2022",
            "fax_number": "931-528-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N DIXIE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-526-2022",
            "fax_number": "931-528-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Gordonsville Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gordonsville",
            "state": "TN",
            "postal_code": "385634652",
            "country_code": "US",
            "telephone_number": "615-683-5550",
            "fax_number": "615-683-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR GARRETT C SHEPHERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "931-526-2022",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huddleston & Shepherd Family Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smith County Advanced Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smith County Advanced Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Donohue, CRNA
• Daniel H Donovan, MD
• Dornbier Enterprise Inc (Wellspring Family Chiropractic)
• Matthew M Dougherty, D.O.
• Dale E Douglas, M.D.
• Dr. Albert E. Hensel, III (Midsouth Allergy, Asthma, and Sinus Center)
• Dr. Andy Thompson
• Dr. Mark Lynn & Associates, PLLC (Visionworks Doctors of Optometry)
• Dr. Richard Dycus
• Joshua Dragan, FNP-C

• Optometrist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.