Organization Active NPI

The Eye Clinic Group L.L.C.

  • Optometrist
  • Hendersonville, TN
National Provider Identifier
1811137045
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1705 Issued in TN
Legal business name
THE EYE CLINIC GROUP L.L.C.
Practice address
204 N Anderson LN
Hendersonville, TN 37075-6926
Phone
(615) 826-1611
Fax
(615) 824-1507
NPI assigned
Feb 27, 2009
Last updated
Mar 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Donald Chris Bates, ODNPI 1437135480
Title
Owner
Phone
(615) 275-8410

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
Optometrist 152W00000X 1705 TN Primary

Addresses

Primary practice location

204 N Anderson LN
Hendersonville, TN 37075-6926

Mailing address

204 N Anderson LN
Hendersonville, TN 37075-6926
Phone (615) 826-1611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090403000588 TN Part B Supplier - Clinic/Group Practice 6608923826 Receives reassigned benefits from 3 practitioners
Practice locations: Gallatin, TN; Hendersonville, TN; Springfield, TN; White House, TN

National Provider Directory

National Provider Directory

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": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1811137045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N ANDERSON LN",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756926",
            "telephone_number": "615-826-1611",
            "fax_number": "615-824-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N ANDERSON LN",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756926",
            "telephone_number": "615-826-1611",
            "fax_number": "615-824-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CLINIC GROUP L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-275-8410",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.