Organization Active NPI

Sumner Eye Care PLLC

  • Optometrist
  • Gallatin, TN
National Provider Identifier
1821540196
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3067 Issued in TN
Legal business name
SUMNER EYE CARE PLLC
Practice address
343 Hancock St
Gallatin, TN 37066-3690
Phone
(615) 452-2020
Fax
(615) 452-2112
NPI assigned
Nov 2, 2016
Last updated
Nov 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Dr. James L Smith, O.D.
Title
Owner
Phone
(615) 452-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3067 TN Primary

Addresses

Primary practice location

343 Hancock St
Gallatin, TN 37066-3690

Mailing address

343 Hancock St
Gallatin, TN 37066-3690
Phone (615) 452-2020

Other identifiers 1

IdentifierTypeStateIssuer
4334755MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1821540196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 HANCOCK ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663690",
            "telephone_number": "615-452-2020",
            "fax_number": "615-452-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 HANCOCK ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663690",
            "telephone_number": "615-452-2020",
            "fax_number": "615-452-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-452-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4334755",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.