Individual provider Active NPI

Daniel James Burt, OD

  • Optometrist
  • Ashland City, TN
National Provider Identifier
1790719151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2408 Issued in TN
Practice address
1626 Highway 12 S
Ashland City, TN 37015-3304
Phone
(615) 792-2220
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2408 TN Primary

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

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
I20070124000295 TN Practitioner - Optometry 3274534904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2408TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Jun 17, 2022 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Jun 17, 2022 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

Organizations & group practices 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790719151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 HIGHLAND PARK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054029",
            "telephone_number": "615-512-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 HIGHWAY 12 S",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370153304",
            "telephone_number": "615-792-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland City, TN

Sources for this page

Verify at the official NPI Registry.