Organization Active NPI

Oculoplastic Specialists of Tennessee LLC

  • Pharmacy
  • Nashville, TN
National Provider Identifier
1629724935
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
OCULOPLASTIC SPECIALISTS OF TENNESSEE LLC
Practice address
4306 Harding Pike Ste 106
Nashville, TN 37205-2249
Phone
(615) 297-5798
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Timothy Siktberg
Title
Business Manager
Phone
(615) 400-5844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

4306 Harding Pike Ste 106
Nashville, TN 37205-2249

Mailing address

4306 Harding Pike Ste 106
Nashville, TN 37205-2249
Phone (615) 297-5798

National Provider Directory

National Provider Directory

Locations

4309 Harding Pike
Ste 106
Nashville, TN 37205

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1629724935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 HARDING PIKE STE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052249",
            "telephone_number": "615-297-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 HARDING PIKE STE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052249",
            "telephone_number": "615-297-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOPLASTIC SPECIALISTS OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "SIKTBERG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "615-400-5844"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.