NPIMap

Organization Active NPI

Edgar Swan

Doing business as Gallatin Optical Company

  • Durable Medical Equipment & Medical Supplies
  • Gallatin, TN
National Provider Identifier
1851577100
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DPO 657 Issued in TN
Legal business name
EDGAR SWAN
Doing business as
Gallatin Optical Company
Practice address
137 W Broadway
Gallatin, TN 37066-2717
Phone
(615) 452-2111
Fax
(615) 452-2251
NPI assigned
Jan 17, 2008
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Edgar Earl SwanNPI 1942217161
Title
Optician
Phone
(615) 452-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DPO 657 TN Primary

Addresses

Primary practice location

137 W Broadway
Gallatin, TN 37066-2717

Mailing address

137 W Broadway
Gallatin, TN 37066-2717
Phone (615) 452-2111

Other identifiers 2

IdentifierTypeStateIssuer
0043794OtherTNBCBST
43794MedicaidTN

Other names 1

  • GALLATIN OPTICAL COMPANY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1851577100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W BROADWAY",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662717",
            "telephone_number": "615-452-2111",
            "fax_number": "615-452-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W BROADWAY",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662717",
            "telephone_number": "615-452-2111",
            "fax_number": "615-452-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR SWAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "615-452-2111"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "DPO 657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "0043794",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43794",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALLATIN OPTICAL COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 17, 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.