Southern Optical Service

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DPO226 Issued in TN

Legal business name

SOUTHERN OPTICAL SERVICE

Practice address

1916 Patterson St
Suite 104
Nashville, TN 37203-2154

Phone

(615) 329-1731

Fax

(615) 329-9899

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Charles Floyd Bibb, LIC DISP OPTICIAN

Title

President

Phone

(615) 329-1731

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronda Faye Dodds, LDO

  • Optician
  • Nashville, TN
  • NPI 1932545332
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1821294505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "address_2": "SUITE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032154",
            "telephone_number": "615-329-1731",
            "fax_number": "615-329-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "address_2": "SUITE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032154",
            "telephone_number": "615-329-1731",
            "fax_number": "615-329-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OPTICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "BIBB",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-329-1731",
        "authorized_official_credential": "LIC DISP OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "TN",
            "license": "DPO226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Charm Medical Transit
• Southern Hills Neurology Consultants LLC
• Southern Hills Orthopaedic Consultants LLC
• Southern Hills Surgery Center LP (Southern Hills Surgery Center)
• Southern Kidney Specialists, PLC
• Southern Pain Institute PLLC
• Southern Sports Medicine and Orthopaedic Center, P.C. (Southern Joint Replacement Institute)
• Southern Surgical Apmc Inc
• Southstreet Family Medical Center
• Jamaria Jania Southward, CPNP-PC

• Optician in Nashville, TN
• Providers in Nashville, TN by specialty
• Optician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.