Fred R Shanks, O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

558 Issued in TN

Legal business name

FRED R SHANKS, O.D., LLC

Practice address

412 Elysian Fields Rd
Nashville, TN 37211-4211

Phone

(615) 834-8495

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Fred Rheme Shanks

Title

Pres

Phone

(615) 834-8495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1649548207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ELYSIAN FIELDS RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ELYSIAN FIELDS RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114211",
            "telephone_number": "615-834-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED R SHANKS, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "RHEME",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "615-834-8495"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reece Robert Frechette, MD
• Freckman & Associates
• Dottie F Freckman, LCSW
• Oliver Jack Freckman, LCSW
• Fred R Shanks O.D., L.L.C.
• Katherine Collier Frederick-Dyer
• Candice Frederick, MD
• Chelsea Frederick
• Charles E Fredericks, M.D.
• Harold Edwin Fredericks, D.D.S., M.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.