Individual provider Active NPI

Jody E Simmons, O.D.

  • Optometrist
  • Franklin, TN
National Provider Identifier
1841453024
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2819TN Issued in TN
Practice address
3070 Mallory LN
Franklin, TN 37067-8304
Phone
(615) 771-4006
Fax
(615) 778-7678
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2819TN TN Primary

Addresses

Primary practice location

3070 Mallory LN
Franklin, TN 37067-8304

Mailing address

1608 Flanders CT
Franklin, TN 37067-8535
Phone (615) 594-2195

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2819TNTNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Donelson Eyecare, PLLC Optometrist PastSince Jul 19, 2007 Accepting new patients
Cool Springs Eyecare, PLLC Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1841453024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 FLANDERS CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678535",
            "telephone_number": "615-594-2195",
            "fax_number": "615-778-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678304",
            "telephone_number": "615-771-4006",
            "fax_number": "615-778-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JODY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2819TN",
            "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 Jan 23, 2014; 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.