The Eye Clinic of Goodlettsville, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

THE EYE CLINIC OF GOODLETTSVILLE, PC

Practice address

900 Conference Dr Ste 15B
Goodlettsville, TN 37072-1909

Phone

(615) 859-1912

NPI assigned

Jul 1, 2021

Last updated

Jul 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Judd, ODNPI 1467553867

Title

Owner

Phone

(615) 859-1912

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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.

• James M Judd, O.D.

  • Optometrist
  • Goodlettsville, TN
  • NPI 1467553867
  Medicare reassignment Authorized official
• Kenneth W. Brawner, O.D.

  • Optometrist
  • Goodlettsville, TN
  • NPI 1477545341
  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1730750696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CONFERENCE DR STE 15B",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721909",
            "telephone_number": "615-859-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CONFERENCE DR STE 15B",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721909",
            "telephone_number": "615-859-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CLINIC OF GOODLETTSVILLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-859-1912",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467553867",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tennessee Hearing Instrument Specialists LLC
• Tennessee Relief Center, LLC
• Tennessee Voices for Children
• Cynthia Strother Terry, APRN
• Farid Abdulrehman Thanawalla, M.D.
• The Fountain Center for Preventative Medicine, LLC
• The Grief Center
• The Project for Independence, Inc.
• The Wren Within
• Faith Thiongo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.