Summit Eye Associates Optical LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

SUMMIT EYE ASSOCIATES OPTICAL LLC

Practice address

5410 Old Hickory Blvd
Hermitage, TN 37076-2574

Phone

(615) 883-2356

Fax

(615) 872-0863

NPI assigned

Mar 20, 2007

Last updated

Feb 10, 2010By 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

Mrs. Lorie Landry

Title

Office Manager

Phone

(615) 883-2356

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply 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.

• Joshua Olsen Young, M.D.

  • Ophthalmology Physician
  • Hermitage, TN
  • NPI 1376607259
  NPD
• Meredith Ann Ezell, MD

  • Ophthalmology Physician
  • Hermitage, TN
  • NPI 1356436174
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1770608622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762574",
            "telephone_number": "615-883-2356",
            "fax_number": "615-872-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762574",
            "telephone_number": "615-883-2356",
            "fax_number": "615-872-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE ASSOCIATES OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-883-2356",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Christine Hayes Stuff, APRN
• Adamilka Suarez-Blash, LMSW
• Krystal Sudberry
• Jayda Summers
• Summit Bone & Joint, PLLC
• Summit Eye Associates P C
• Summit Family Dental PLLC
• Summit Health & Rehab Services, Inc (Belvedere Commons of Hermitage)
• Summit Medical Associates PC
• Summit Medical Group, PLLC (Hermitage Primary Care, a division of Summit Medical Group)

• Non-Pharmacy Dispensing Site in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Non-Pharmacy Dispensing Site in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.