Jeremy Christopher Scoggins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2243 Issued in TN

Practice address

300 Pleasant Grove Rd
BLDG 600
Mount Juliet, TN 37122-3785

Phone

(615) 773-5773

Fax

(615) 773-5529

NPI assigned

Nov 9, 2005

Last updated

Aug 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wilson County Eye Associates, LLC

  dba Mt Juliet Eye Clinic

  • Optometrist
  • Mount Juliet, TN
  • NPI 1437873643
  NPD Authorized official
• Wilson County Eye Associates, LLC

  dba Lebanon Eye Clinic

  • Optometrist
  • Lebanon, TN
  • NPI 1215675541
  Authorized official Same address or phone

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661040000000",
    "number": "1942281530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 WINDHAVEN BAY",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226912",
            "telephone_number": "615-491-4245",
            "fax_number": "615-832-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLEASANT GROVE RD",
            "address_2": "BLDG 600",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223785",
            "telephone_number": "615-773-5773",
            "fax_number": "615-773-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGINS",
        "first_name": "JEREMY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4019025",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Schara, DDS
• Schell Smiles Pediatric Dentistry, PLLC
• Christine Schnitzer
• Tori Allyson Schow
• Tracy Lynn Schuette
• Brian M Scott, M.D.
• Hailey Rose Scott
• Keribeth R Searcy, PA-C
• Daniel B Seeley, FNP
• Brigin Lynette Seger, PA-C

• Optometrist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.