Organization Active NPI

Green Hills Eyecare, PLLC

  • Optometrist
  • Nashville, TN
National Provider Identifier
1740726603
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2926 Issued in TN
Legal business name
GREEN HILLS EYECARE, PLLC
Practice address
4301 Hillsboro Rd
Suite 330
Nashville, TN 37215-3345
Phone
(615) 297-7547
Fax
(615) 297-7576
NPI assigned
Jan 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Authorized official

Name
Jessica Durham, ODNPI 1942512140
Title
Owner
Phone
(615) 297-7547

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2926 TN Primary

Addresses

Primary practice location

4301 Hillsboro Rd
Suite 330
Nashville, TN 37215-3345

Mailing address

4301 Hillsboro Rd
Suite 330
Nashville, TN 37215-3345
Phone (615) 297-7547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170615001837 TN Part B Supplier - Clinic/Group Practice 0648548644 Receives reassigned benefits from 2 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1740726603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO RD",
            "address_2": "SUITE 330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153345",
            "telephone_number": "615-297-7547",
            "fax_number": "615-297-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO RD",
            "address_2": "SUITE 330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153345",
            "telephone_number": "615-297-7547",
            "fax_number": "615-297-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILLS EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-297-7547",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 2017; 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.