Organization Active NPI

Jeffrey D Horn MD PLLC

  • Ophthalmology Physician
  • Nashville, TN
National Provider Identifier
1700900040
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
29656 Issued in TN
Legal business name
JEFFREY D HORN MD PLLC
Practice address
2011 Church St
Suite 801
Nashville, TN 37203-2000
Phone
(615) 329-9575
Fax
(615) 329-9991
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Jeffrey D Horn, MDNPI 1134210149
Title
Owner
Phone
(615) 329-9575

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 29656 TN Primary

Addresses

Primary practice location

2011 Church St
Suite 801
Nashville, TN 37203-2000

Mailing address

2011 Church St
Suite 801
Nashville, TN 37203-2000
Phone (615) 329-9575

Other names 1

  • Vision For Life Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050623000503 TN Part B Supplier - Clinic/Group Practice 2062457617 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Juliet, TN; Nashville, TN

National Provider Directory

National Provider Directory

Locations

4230 Harding Pike
Ste G6
Nashville, TN 37205
Phone (615) 222-6644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1700900040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CHURCH ST",
            "address_2": "SUITE 801",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032000",
            "telephone_number": "615-329-9575",
            "fax_number": "615-329-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CHURCH ST",
            "address_2": "SUITE 801",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032000",
            "telephone_number": "615-329-9575",
            "fax_number": "615-329-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D HORN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-329-9575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "29656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision For Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 17, 2007; 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.