Organization Active NPI

Simmons Eyecare, PLC

  • Optometrist
  • Lewisburg, TN
National Provider Identifier
1902135429
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2819 Issued in TN
Legal business name
SIMMONS EYECARE, PLC
Practice address
1334 N Ellington Pkwy
Lewisburg, TN 37091-2218
Phone
(931) 359-3799
Fax
(931) 359-3780
NPI assigned
Dec 11, 2009
Last updated
Dec 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Dr. Jody E. Simmons, O.D.NPI 1841453024
Title
Managing Member
Phone
(615) 594-2195

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
Optometrist 152W00000X 2819 TN Primary

Addresses

Primary practice location

1334 N Ellington Pkwy
Lewisburg, TN 37091-2218

Mailing address

1012 Dunrobin Dr
Franklin, TN 37067-5699
Phone (615) 594-2195

Other identifiers 1

IdentifierTypeStateIssuer
3001931OtherTNMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1334 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 359-3799

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": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1902135429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 DUNROBIN DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675699",
            "telephone_number": "615-594-2195",
            "fax_number": "931-359-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 N ELLINGTON PKWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912218",
            "telephone_number": "931-359-3799",
            "fax_number": "931-359-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS EYECARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "615-594-2195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3001931",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.