Charles Garry Collins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1301 Issued in TN

Practice address

115 Penn Warren Dr
Suite 450
Brentwood, TN 37027-5047

Phone

(615) 447-9850

NPI assigned

Oct 27, 2005

Last updated

Jul 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 13

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Collins Eye Center, PLLC

  • Optometrist
  • Brentwood, TN
  • NPI 1225417447
  Medicare reassignment Authorized official
• Eyecare Plus Ca,PLLC

  • Optometrist
  • Columbia, TN
  • NPI 1790732519
  NPD (past)
• Eyecare Plus CL PLLC

  • Optometrist
  • Clarksville, TN
  • NPI 1104871037
  NPD (past)
• Eyecare Plus GH PLLC

  • Optometrist
  • Nashville, TN
  • NPI 1578517405
  NPD (past)
• Eyecare Plus HH, PLLC

  • Optometrist
  • Antioch, TN
  • NPI 1174500714
  NPD (past)
• Eyecare Plus HV PLLC

  • Optometrist
  • Hendersonville, TN
  • NPI 1255386116
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1861482093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ROYAL XING",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648909",
            "telephone_number": "615-731-8900",
            "fax_number": "615-731-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PENN WARREN DR",
            "address_2": "SUITE 450",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275047",
            "telephone_number": "615-447-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CHARLES",
        "middle_name": "GARRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4061332",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3468268",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4061289",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4082418",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "910689",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4061254",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4061401",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "TN1301",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3412976",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3343678",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3597679",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4092009",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3343675",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliot Coleman, NSCA-CSCS
• Kevin Boyd Collen, MD
• Cory Brooks Collier, MD
• Collins Eye Center, PLLC
• Amber Gaddy Collins
• Edwina Collins, DDS
• Jill C Collins
• Tristen Collins, DC, MS
• Whitney Nations Collins, PT
• Dean Colombo, CNIM

• Optometrist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.