Individual provider Active NPI

Daxx D Dunn, O.D.

  • Optometrist
  • Franklin, TN
National Provider Identifier
1780738658
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD2301 Issued in TN
Practice address
4085 Mallory LN
Suite 110
Franklin, TN 37067-8290
Phone
(615) 771-2550
Fax
(615) 771-2099
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD2301 TN Primary

Addresses

Primary practice location

4085 Mallory LN
Suite 110
Franklin, TN 37067-8290

Mailing address

4085 Mallory LN
Suite 110
Franklin, TN 37067-8290
Phone (615) 771-2550

Other identifiers 1

IdentifierTypeStateIssuer
4043602OtherTNBLUE CROSS BLUE SHIELD ID

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
I20080222000506 TN Practitioner - Optometry 2062596422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Northeastern Ohio University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care of Cool Springs LLCGroup PAC ID 3779731393, 3 clinicians

Practice addresses (Care Compare)

4085 Mallory Lane
Suite 110
Franklin, TN 37067-2801

4085 Mallory LN
Franklin, TN 37067-2801
Phone (615) 771-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD2301TNMDOptometrist
2301TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care of Cool Springs, LLC Optometrist CurrentSince Aug 8, 2011 Accepting new patients

Locations

4085 Mallory Ln
Ste 110
Franklin, TN 37067
Phone (615) 771-2550

Organizations & group practices 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1780738658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 MALLORY LN",
            "address_2": "SUITE 110",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678290",
            "telephone_number": "615-771-2550",
            "fax_number": "615-771-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 MALLORY LN",
            "address_2": "SUITE 110",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678290",
            "telephone_number": "615-771-2550",
            "fax_number": "615-771-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "DAXX",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD2301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "4043602",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.