Individual provider Active NPI

Evan Shields, OD

  • Optometrist
  • Nolensville, TN
National Provider Identifier
1790212827
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3386 Issued in TN
Practice address
7180 Nolensville Rd Ste 1E
Nolensville, TN 37135-2997
Phone
(615) 283-7321
Fax
(615) 283-7223
NPI assigned
May 19, 2017
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3386 TN Primary

Addresses

Primary practice location

7180 Nolensville Rd Ste 1E
Nolensville, TN 37135-2997

Mailing address

7180 Nolensville Rd Ste 1E
Nolensville, TN 37135-2997
Phone (615) 283-7321

Other practice location 1

803 Industrial Blvd
Smyrna, TN 37167-6865
Phone (615) 459-6083

Other practice location 2

7171 Nolensville Rd Ste 104
Nolensville, TN 37135-6101
Phone (615) 815-1632

Other practice location 3

507 Gordonsville Hwy Ste 101
Gordonsville, TN 38563-4652
Phone (615) 683-5550

Other practice location 4

45 N Dixie Ave
Cookeville, TN 38501
Phone (931) 526-2022

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
I20180830002622 TN Practitioner - Optometry 8224388996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nolo Eye Care Eyewear Gallery LLCGroup PAC ID 8921406117, 3 clinicians

Practice addresses (Care Compare)

7180 Nolensville Rd
Suite 1E
Nolensville, TN 37135-2997
Phone (770) 778-7309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3386TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nolo Eye Care Eyewear Gallery LLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

7180 Nolensville Rd
Ste 1E
Nolensville, TN 37135
Phone (615) 283-7321

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1790212827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 NOLENSVILLE RD STE 1E",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371352997",
            "telephone_number": "615-283-7321",
            "fax_number": "615-283-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 NOLENSVILLE RD STE 1E",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371352997",
            "telephone_number": "615-283-7321",
            "fax_number": "615-283-7223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676865",
            "country_code": "US",
            "telephone_number": "615-459-6083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7171 Nolensville Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Nolensville",
            "state": "TN",
            "postal_code": "371356101",
            "country_code": "US",
            "telephone_number": "615-815-1632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 Gordonsville Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gordonsville",
            "state": "TN",
            "postal_code": "385634652",
            "country_code": "US",
            "telephone_number": "615-683-5550",
            "fax_number": "615-683-8899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 N Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "38501",
            "country_code": "US",
            "telephone_number": "931-526-2022",
            "fax_number": "931-528-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2021-03-30",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nolensville, TN

Sources for this page

Verify at the official NPI Registry.