Individual provider Active NPI

Jared Iverson, OD

  • Optometrist
  • Nashville, TN
National Provider Identifier
1649335548
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2377 Issued in TN
Practice address
3904 Hillsboro Pike
Nashville, TN 37215-2717
Phone
(615) 292-2040
Fax
(615) 292-3478
NPI assigned
Dec 22, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2377 TN Primary

Addresses

Primary practice location

3904 Hillsboro Pike
Nashville, TN 37215-2717

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
3945663MedicaidTN

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
I20070604000766 TN Practitioner - Optometry 3072611706 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Plus HH, PLLCGroup PAC ID 7719891076, 5 clinicians
Eyecare Plus Ca,PLLCGroup PAC ID 3072427368, 4 clinicians

Practice addresses (Care Compare)

5323 Mount View Rd
Antioch, TN 37013-2308
Phone (615) 731-8900

816 S James Campbell Blvd
Columbia, TN 38401-4338
Phone (931) 540-0700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Plus MB PLLC Optometrist CurrentSince Aug 15, 2018 Accepting new patients
Eyecare Plus HH, PLLC Optometrist CurrentSince Aug 15, 2018 Accepting new patients
Eyecare Plus GH PLLC Optometrist CurrentSince Aug 15, 2018 Accepting new patients
Middle Tennessee Imaging LLC Current Accepting new patients
Eyecare Plus Ca,PLLC Optometrist CurrentSince Aug 15, 2018 Accepting new patients
C&V Opticals,Inc. PastSince Feb 1, 2021 Accepting new patients

Locations

5323 Mount View Rd
Antioch, TN 37013
Phone (615) 731-8900

816 S James M Campbell Blvd
Columbia, TN 38401
Phone (931) 540-0700

419 Memorial Blvd
Murfreesboro, TN 37129
Phone (615) 601-3888

1911 Glen Echo Rd
Nashville, TN 37215
Phone (615) 298-2668

1911 Glen Echo Rd
Ste B
Nashville, TN 37215
Phone (615) 298-2669

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649335548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 HILLSBORO PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152717",
            "telephone_number": "615-292-2040",
            "fax_number": "615-292-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "JARED",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3945663",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.