William E Conn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1119T Issued in TN

Practice address

782 Old Hickory Blvd
Suite 204
Brentwood, TN 37027-4561

Phone

(615) 373-9992

Fax

(615) 373-9819

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hermitage Eye Care PLLC

  • Optometrist
  • Hermitage, TN
  • NPI 1275943052
  Medicare reassignment NPD
• Hermitage Eye Care PLLC

  • Optometrist
  • Brentwood, TN
  • NPI 1689479909
  NPD

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1710951298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 OLD HICKORY BLVD",
            "address_2": "SUITE 204",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274561",
            "telephone_number": "615-373-9992",
            "fax_number": "615-373-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 OLD HICKORY BLVD",
            "address_2": "SUITE 204",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274561",
            "telephone_number": "615-373-9992",
            "fax_number": "615-373-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1119T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3599310",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compassus SNF at Home, LLC
• Comprehensive Hospital Physicians of Florida Inc
• Comprehensive Neurology Center PLLC
• Christina Confroy, LMFT
• Joy Miller Conklin, MMFT
• Connected Caregiver
• Dan E Connor, M.D.
• Michelle Connor
• Consano Therapy, PLLC
• Suzanne Constantine, LPC, TEMPORARY

• Optometrist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.