Emily Evans, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD3226 Issued in TN

Practice address

520 Rivergate Pkwy
Goodlettsville, TN 37072-2030

Phone

(615) 859-3937

Fax

(615) 859-3919

NPI assigned

Jun 10, 2015

Last updated

Nov 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Nashville TN Ophthalmology ASC LLC

  dba LVC Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Goodlettsville, TN
  • NPI 1063452423
  NPD (past)
• Luxottica of America Inc.

  dba Lenscrafters #995

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1891880977
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1871974345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PKWY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PKWY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3226",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD3226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q015606",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celisa Monica Ellis, LMT
• Michael C Ellis, M.D.
• William Steven Emery, DDS
• Alan Steven Ericksen, M.D.
• Eric Ethridge, DC
• Philip Wayne Ezell, DDS
• Fair Winds Way, PLLC
• Fairhurst Dermatology
• Nauzanene Jafari Fard Veyjoyeh, DDS
• Hal T Farmer, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.