NPIMap

Organization Active NPI

Fred R Shanks, O.D., LLC

  • Optometrist
  • Nashville, TN
National Provider Identifier
1649548207
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Fred Rheme ShanksNPI 1306991906
Title
Pres
Phone
(615) 834-8495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 558 TN Primary

Addresses

Primary practice location

412 Elysian Fields Rd
Nashville, TN 37211-4211

Mailing address

412 Elysian Fields Rd
Nashville, TN 37211-4211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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": []
}

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 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.