Individual provider Active NPI

Eric B Larios, OD

  • Optometrist
  • Nashville, TN
National Provider Identifier
1720512221
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3372 Issued in TN
Practice address
4230 Harding Pike Ste 803
Nashville, TN 37205-4900
Phone
(629) 255-2230
Fax
(629) 255-4180
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3372 TN Primary

Addresses

Primary practice location

4230 Harding Pike Ste 803
Nashville, TN 37205-4900

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Other identifiers 1

IdentifierTypeStateIssuer
Q032387MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171108001387 TN Practitioner - Optometry 4789940727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Eye Specialists PLLCGroup PAC ID 6800708504, 37 clinicians
Heritage Medical Associates PCGroup PAC ID 4688651037, 162 clinicians

Practice addresses (Care Compare)

28 White Bridge Pike
Suite 208
Nashville, TN 37205-1467
Phone (615) 327-2001

4230 Harding Pike
Suite 609
Nashville, TN 37205-2018
Phone (629) 255-2115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates PC CurrentSince Nov 1, 2017 Accepting new patients
Southeast Eye Specialists PLLC Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Heritage Medical Associates PC CurrentSince Nov 1, 2017 Accepting new patients
Southeast Eye Specialists PLLC Optometrist CurrentSince Feb 1, 2026 Accepting new patients

Locations

854 Lone Oak Dr
Ste 120
Gallatin, TN 37066
Phone (615) 452-1602

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

4230 Harding Pike
Ste 803
Nashville, TN 37205
Phone (615) 386-9089

28 White Bridge Pike
Ste 208
Nashville, TN 37205
Phone (615) 327-2001

4230 Harding Pike
Ste 609
Nashville, TN 37205
Phone (629) 255-2115

Interoperability endpoints

  • Direct secure messaging: ericlarios@hma.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1720512221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 803",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054900",
            "telephone_number": "629-255-2230",
            "fax_number": "629-255-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIOS",
        "first_name": "ERIC",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032387",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.