Organization Active NPI

Dr. Rena R. Cron

Doing business as Eagleville Eye Clinic

  • Optometrist
  • Eagleville, TN
National Provider Identifier
1679155204
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. RENA R. CRON
Doing business as
Eagleville Eye Clinic
Practice address
355 S Main St
Eagleville, TN 37060-4510
Phone
(615) 274-2102
Fax
(615) 274-2106
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Dr. Rena Cron, OD
Title
Owner/Provider
Phone
(615) 274-2102

Specialties & licenses 1

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

Addresses

Primary practice location

355 S Main St
Eagleville, TN 37060-4510

Mailing address

PO Box 189
Eagleville, TN 37060-0189
Phone (615) 274-2102

Other identifiers 1

IdentifierTypeStateIssuer
3596683MedicaidTN

Other names 1

  • Eagleville Eye Clinic Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@eaglevilleeye.com Direct
Direct Messaging Address info@eaglevilleeye.com Health Information Exchange (HIE)

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": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1679155204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "EAGLEVILLE",
            "state": "TN",
            "postal_code": "370600189",
            "telephone_number": "615-274-2102",
            "fax_number": "615-274-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S MAIN ST",
            "city": "EAGLEVILLE",
            "state": "TN",
            "postal_code": "370604510",
            "telephone_number": "615-274-2102",
            "fax_number": "615-274-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RENA R. CRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "CRON",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "615-274-2102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3596683",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@eaglevilleeye.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "355 S Main St",
            "city": "Eagleville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370604510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@eaglevilleeye.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Eagleville",
            "address_1": "355 S Main St",
            "city": "Eagleville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370604510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eagleville Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagleville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.