Individual provider Active NPI

Irene Katsaitis, OD

  • Optometrist
  • Franklin, TN
National Provider Identifier
1790839280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1573 Issued in TN
Practice address
3600 Mallory LN
Franklin, TN 37067-2803
Phone
(615) 771-5025
Fax
(615) 771-7973
NPI assigned
Jan 22, 2007
Sex
Female
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 1573 TN Primary

Addresses

Primary practice location

3600 Mallory LN
Franklin, TN 37067-2803

Mailing address

1022 Dunrobin Dr
Franklin, TN 37067-5699
Phone (615) 794-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

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": "1183852800000",
    "number": "1790839280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 DUNROBIN DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675699",
            "telephone_number": "615-794-3388",
            "fax_number": "615-771-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672803",
            "telephone_number": "615-771-5025",
            "fax_number": "615-771-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSAITIS",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.