Individual provider Active NPI

Jarrod Peace, OD

  • Optometrist
  • Franklin, TN
National Provider Identifier
1861562035
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2617 Issued in TN
Practice address
1000 Meridian Blvd
Suite 106
Franklin, TN 37067-6344
Phone
(615) 771-6646
Fax
(615) 771-1191
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2617 TN Primary

Addresses

Primary practice location

1000 Meridian Blvd
Suite 106
Franklin, TN 37067-6344

Mailing address

1000 Meridian Blvd
Suite 106
Franklin, TN 37067-6344
Phone (615) 771-6646

Other identifiers 1

IdentifierTypeStateIssuer
3946654MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051007000062 TN Practitioner - Optometry 4486679636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Meridian Blvd
Suite 106
Franklin, TN 37067-6345
Phone (615) 771-6646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peace Eyecare Optometrist CurrentSince Sep 29, 2008 Accepting new patients
Nursing Home Eyecare PLLC Optometrist PastSince Feb 28, 2006 Accepting new patients

Locations

1000 Meridian Blvd
Ste 106
Franklin, TN 37067
Phone (615) 771-6646

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1861562035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MERIDIAN BLVD",
            "address_2": "SUITE 106",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676344",
            "telephone_number": "615-771-6646",
            "fax_number": "615-771-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MERIDIAN BLVD",
            "address_2": "SUITE 106",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676344",
            "telephone_number": "615-771-6646",
            "fax_number": "615-771-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACE",
        "first_name": "JARROD",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3946654",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.