Daniel James Burt, OD
Individual provider Active NPI Optometrist · Ashland City, TN
NPI 1790719151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790719151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2408 (TN)
- Practice address
- 1626 Highway 12 S
Ashland City, TN 37015-3304 - Phone
- (615) 792-2220
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070124000295 | TN | Practitioner - Optometry | 3274534904 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2408 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TN Doctors of Optometry, PLLC | Optometrist | Current |
Accepting new patients |
| TN Doctors of Optometry, PLLC | Optometrist | Current |
Accepting new patients |
Locations
1800 Galleria Blvd
Ste 1330
Franklin, TN 37067
Phone (615) 771-7382
1701 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-2000
2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151
175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2408 | TN | Yes |
Addresses
Primary practice location
1626 Highway 12 S
Ashland City, TN 37015-3304
Mailing address
6933 Highland Park Dr
Nashville, TN 37205-4029
Phone (615) 512-0537
Other providers in Ashland City, TN
- Dawn Brooks
- Michael Andrew Brown
- Scott Duff Brown
- Kelly Bruce
- Emily Everette Burchett
- Linda Southwick Bush
- Tammy Lynn Butler
- Jana M Buttrey
- Jennifer Amy Carney
- Jesica Marie Carter
All providers in Ashland City, TN · Optometrist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.