Columbia Eye Physicians PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COLUMBIA EYE PHYSICIANS PLLC

Practice address

1050 N James M Campbell Blvd Ste 100
Columbia, TN 38401-2754

Phone

(931) 375-1050

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By 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

Dr. Timothy GordonNPI 1750320453

Title

Physcian

Phone

(931) 375-1050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 4

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.

• Jacob Fleenor, MD

  • Ophthalmology Physician
  • Temple, TX
  • NPI 1891299111

  TN

  Medicare reassignment NPD
• Timothy E Gordon, M.D.

  • Ophthalmology Physician
  • Columbia, TN
  • NPI 1750320453
  NPD Authorized official
• Charles D Atnip, M.D.

  • Ophthalmology Physician
  • Columbia, TN
  • NPI 1245343003
  NPD (past)
• Ralph F Hamilton, M.D.

  • Ophthalmology Physician
  • Columbia, TN
  • NPI 1184663858
  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1669120861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N JAMES M CAMPBELL BLVD STE 100",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012754",
            "telephone_number": "931-375-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N JAMES M CAMPBELL BLVD STE 100",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012754",
            "telephone_number": "931-375-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA EYE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "931-375-1050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Anesthesia Group PLLC
• Columbia Anesthesia Services LLC
• Columbia Cancer Institue Inc
• Columbia Dental Group PLLC
• Columbia Ear, Nose and Throat, PLLC
• Columbia Family Dentistry
• Columbia Home Medical Inc
• Columbia Multi Specialty Clinic PLLC
• Columbia Oncology
• Columbia Operations, LLC (Life Care Center of Columbia)

• Ophthalmology Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.