Active NPI
Michael R Politzer, O.D.
- Low Vision Rehabilitation Optometrist
- Franklin, TN
National Provider Identifier
1922091354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- OD000000538
- Practice address
- 144 Timberline Dr
Franklin, TN 37069-7170 - Phone
- (615) 330-3895
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | OD000000538 | TN | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | OD000000538 | TN | Primary |
| Optometrist | 152W00000X | OD000000538 | TN | |
| Vision Therapy Optometrist | 152WV0400X | OD000000538 | TN |
Addresses
Primary practice location
144 Timberline Dr
Franklin, TN 37069-7170
Mailing address
144 Timberline Dr
Franklin, TN 37069-7170
Phone (615) 330-3895
Other practice location 1
5300 Maryland Way
Suite 160
Brentwood, TN 37027-5074
Phone (615) 604-2949
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35900561 | Medicaid | TN | |
| 4247110001 | Other | TN | PALMETTO GBA |
| 410048955 | Other | TN | RAILROAD MEDICARE |
| 4176259 | Other | TN | BLUE CROSS BLUE SHIELD |
| 2240252 | Other | TN | UNITED HEALTHCARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD000000538 | TN | MD | Vision Therapy Optometrist |
| 538 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Optometry, PA | Current | Accepting new patients | |
| Politzer and Durocher PLC | Optometrist | Past | Accepting new patients |
| Optometric Center Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
5591 Highway 153
Ste 136
Hixson, TN 37343
Phone (423) 680-5965
Organizations & group practices 4
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.
-
- Optometrist
- Nashville, TN
- NPI 1740763325
-
- Optometrist
- Dresden, TN
- NPI 1316012099
-
- Optometrist
- Nashville, TN
- NPI 1396738720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1922091354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 TIMBERLINE DR",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370697170",
"telephone_number": "615-330-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 TIMBERLINE DR",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370697170",
"telephone_number": "615-330-3895"
}
],
"practiceLocations": [
{
"address_1": "5300 Maryland Way",
"address_2": "Suite 160",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "TN",
"postal_code": "370275074",
"country_code": "US",
"telephone_number": "615-604-2949",
"fax_number": "615-376-0083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLITZER",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "TN",
"license": "OD000000538",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "TN",
"license": "OD000000538",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD000000538",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "TN",
"license": "OD000000538",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35900561",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "4247110001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410048955",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4176259",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2240252",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.