Individual provider Active NPI

Michael R Politzer, O.D.

  • Low Vision Rehabilitation Optometrist
  • Franklin, TN
National Provider Identifier
1922091354
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
OD000000538 Issued in TN
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
35900561MedicaidTN
4247110001OtherTNPALMETTO GBA
410048955OtherTNRAILROAD MEDICARE
4176259OtherTNBLUE CROSS BLUE SHIELD
2240252OtherTNUNITED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000807 TN Practitioner - Optometry 6901980283 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD000000538TNMDVision Therapy Optometrist
538TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince May 1, 2024 Accepting new patients
Politzer and Durocher PLC Optometrist PastSince Jul 11, 2019 Accepting new patients
Optometric Center Professional Corporation Optometrist PastSince Jan 7, 2019 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.

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

Verify at the official NPI Registry.