Organization Active NPI

Nolo Eye Care Eyewear Gallery LLC

  • Optometrist
  • Nolensville, TN
National Provider Identifier
1801488580
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NOLO EYE CARE EYEWEAR GALLERY LLC
Practice address
7180 Nolensville Rd Ste 1E
Nolensville, TN 37135-2997
Phone
(502) 548-7495
NPI assigned
Feb 4, 2021
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Dr. Evan Shields, ODNPI 1790212827
Title
Owner
Phone
(615) 283-7321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211001000462 TN Part B Supplier - Clinic/Group Practice 8921406117 Receives reassigned benefits from 3 practitioners
Practice locations: Nolensville, TN

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1801488580",
    "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"
        },
        {
            "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": "502-548-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLO EYE CARE EYEWEAR GALLERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-283-7321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nolensville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.