NPIMap

Organization Active NPI

Vision Source of Hendersonville

  • Optometrist
  • Hendersonville, TN
National Provider Identifier
1841474186
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0000002721 Issued in TN
Legal business name
VISION SOURCE OF HENDERSONVILLE
Doing business as
Vision Source of Hendersonville
Practice address
100 Country Club Drive
Suite 106
Hendersonville, TN 37075-4025
Phone
(615) 824-4246
NPI assigned
Dec 21, 2007
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Heather Steffy
Title
Office Manager
Phone
(615) 824-4246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0000002721 TN Primary

Addresses

Primary practice location

100 Country Club Drive
Suite 106
Hendersonville, TN 37075-4025

Mailing address

100 Country Club Drive
Suite 106
Hendersonville, TN 37075-4025
Phone (615) 824-4246

Other names 1

  • Vision Source of Hendersonville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000819 TN Part B Supplier - Clinic/Group Practice 4789766759 Receives reassigned benefits from 3 practitioners
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory

Locations

100 Country Club Dr
Hendersonville, TN 37075

100 Country Club Dr
Ste 106
Hendersonvlle, TN 37075
Phone (615) 818-4309

Practitioners & affiliated clinicians

Practitioners 5

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1841474186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB DRIVE",
            "address_2": "SUITE 106",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754025",
            "telephone_number": "615-824-4246",
            "fax_number": "800-216-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB DRIVE",
            "address_2": "SUITE 106",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754025",
            "telephone_number": "615-824-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE OF HENDERSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "STEFFY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-824-4246"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0000002721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source of Hendersonville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vision Source of Hendersonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 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.