Individual provider Active NPI

Monique Alisha Emmons, O.D.

  • Optometrist
  • Murfreesboro, TN
National Provider Identifier
1740596501
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2968 Issued in TN
Practice address
2634 Medical Center Pkwy Ste C
Murfreesboro, TN 37129-4474
Phone
(616) 344-2157
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010390 IL
Optometrist 152W00000X 2968 TN Primary

Addresses

Primary practice location

2634 Medical Center Pkwy Ste C
Murfreesboro, TN 37129-4474

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • Monique A Emmons Other name

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
I20110411000604 TN Practitioner - Optometry 9436348471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2634 Medical Ctr Pkwy
Suite C
Murfreesboro, TN 37129-4474
Phone (616) 344-2157

629 Market St
Suite 115
Chattanooga, TN 37402-4891
Phone (423) 265-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010390ILMDOptometrist
2968TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Apr 23, 2024 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Tennesse, LLC Optometrist CurrentSince Apr 23, 2024 Accepting new patients
Myeyedr Optometry of Tennessee LLC Optometrist Past Accepting new patients

Locations

629 Market St
Ste 115
Chattanooga, TN 37402
Phone (423) 265-4306

3046 Columbia Ave
Ste 209
Franklin, TN 37064
Phone (615) 599-0037

2634 Medical Center Pkwy
Ste C
Murfreesboro, TN 37129
Phone (615) 252-5499

7171 Nolensville Rd
Ste 104
Nolensville, TN 37135

1618 Lee Victory Pkwy
Smyrna, TN 37167
Phone (615) 462-6835

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1740596501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 MEDICAL CENTER PKWY STE C",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294474",
            "telephone_number": "616-344-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "MONIQUE",
        "middle_name": "ALISHA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010390",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "EMMONS",
            "middle_name": "A",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.