Kelly Short, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3326 Issued in TN

Practice address

20 Old Pleasant Grove Rd
Mt Juliet, TN 37122-3879

Phone

(615) 758-3833

NPI assigned

Jul 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision Care of Cool Springs LLCGroup PAC ID 3779731393, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Vision Care of Cool Springs, LLC

  • Optometrist
  • Franklin, TN
  • NPI 1679832083
  Medicare reassignment Care Compare group
• Dr. Mark Lynn & Associates, PLLC

  dba Visionworks Doctors of Optometry

  • Optometrist
  • Franklin, TN
  • NPI 1194739490
  Medicare reassignment NPD
• Ky Doctors of Optometry, PLLC

  dba Visionworks Drs of Optometry

  • Eyewear Supplier
  • St Matthews, KY
  • NPI 1801610985

  Optometrist

  NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1841642501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OLD PLEASANT GROVE RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OLD PLEASANT GROVE RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223879",
            "telephone_number": "615-758-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron A Shearer Sr., M.D.
• Kimbel David Shepherd, M.D.
• Haley Sherman
• Sophia Shi
• Jordan Ashley Shiflett, LPC-MHSP
• Raquel Jackson Shutze, LPC-MHSP
• William Siegel, D.C.
• Rebekah Siers, RBT
• Signature Medical Laboratory
• Allison Simmel, DPT

• Optometrist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.