Organization Active NPI

Rosin Eyecare P.C.

Doing business as Shanks Family Eyecare

  • Optometrist
  • Nashville, TN
National Provider Identifier
1740847086
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROSIN EYECARE P.C.
Doing business as
Shanks Family Eyecare
Practice address
412 Elysian Fields Rd
Nashville, TN 37211-4211
Phone
(615) 834-8495
Fax
(615) 833-1143
NPI assigned
May 22, 2019
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSIN EYECARE P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Gregory Coley, OD
Title
Owner
Phone
(615) 491-3847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

412 Elysian Fields Rd
Nashville, TN 37211-4211

Mailing address

6233 Cermak Rd
Berwyn, IL 60402-2317
Phone (708) 749-2020

Other names 1

  • Shanks Family Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231023003415 TN Part B Supplier - Clinic/Group Practice 2567798994 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Murfreesboro, TN; Nashville, TN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Rosin Eyecare PC

Locations

129 E Clark Blvd
Murfreesboro, TN 37130
Phone (615) 893-8129

4205 Hillsboro Rd
Ste 204
Nashville, TN 37215
Phone (615) 298-2020

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1740847086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022317",
            "telephone_number": "708-749-2020",
            "fax_number": "708-749-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ELYSIAN FIELDS RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114211",
            "telephone_number": "615-834-8495",
            "fax_number": "615-833-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSIN EYECARE P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSIN EYECARE P.C.",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-491-3847",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shanks Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shanks Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 12, 2023; 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.