Organization Active NPI

Family Vision Care of Cool Springs, LLC

  • Optometrist
  • Franklin, TN
National Provider Identifier
1679832083
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY VISION CARE OF COOL SPRINGS, LLC
Practice address
4085 Mallory LN
Suite 110
Franklin, TN 37067-8290
Phone
(615) 771-2550
Fax
(615) 771-2099
NPI assigned
May 7, 2012
Last updated
May 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Dr. Daxx David Brandon Dunn, O.D.NPI 1780738658
Title
Owner
Phone
(615) 771-2550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Corneal and Contact Management Optometrist 152WC0802X NU
Pediatric Optometrist 152WP0200X NU
Vision Therapy Optometrist 152WV0400X NU

Addresses

Primary practice location

4085 Mallory LN
Suite 110
Franklin, TN 37067-8290

Mailing address

4085 Mallory LN
Suite 110
Franklin, TN 37067-8290
Phone (615) 771-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120924000292 TN Part B Supplier - Clinic/Group Practice 3779731393 Receives reassigned benefits from 3 practitioners
Practice locations: Franklin, TN

National Provider Directory

National Provider Directory

Locations

4085 Mallory Ln
Ste 110
Franklin, TN 37067
Phone (615) 771-2550

Practitioners & affiliated clinicians

Practitioners 3

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": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1679832083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 MALLORY LN",
            "address_2": "SUITE 110",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678290",
            "telephone_number": "615-771-2550",
            "fax_number": "615-771-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 MALLORY LN",
            "address_2": "SUITE 110",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678290",
            "telephone_number": "615-771-2550",
            "fax_number": "615-771-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CARE OF COOL SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "DAXX",
        "authorized_official_middle_name": "DAVID BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-771-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.