Gregory Proffitt, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD2200 Issued in TN

Practice address

1800 Galleria Blvd Ste 1330
Franklin, TN 37067-1691

Phone

(615) 771-7382

Fax

(615) 771-7295

NPI assigned

Dec 26, 2006

Last updated

Jul 9, 2007By 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

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.

• TN Doctors of Optometry, PLLC

  • Optometrist
  • Collierville, TN
  • NPI 1538827050
  Medicare reassignment NPD
• Dr. Mark Lynn & Associates, PLLC

  dba Visionworks Doctors of Optometry

  • Optometrist
  • Franklin, TN
  • NPI 1194739490
  Medicare reassignment
• TN Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Kingsport, TN
  • NPI 1275299562

  Optometrist

  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942365515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GALLERIA BLVD STE 1330",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671691",
            "telephone_number": "615-771-7382",
            "fax_number": "615-771-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "GREGORY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD2200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3943876",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Michael Proctor
• Taylor Totty Proctor, APRN
• Productivemd, LLC (ProductiveMD)
• Professional Dental Alliance of Crossville, PLLC (Snodgrass-King Dental Associates)
• Professional Dental Alliance of Tennessee, PLLC
• Prohealth Rural Health Services
• Prohealth Rural Health Services Inc. (Prohealth Rural Health Services)
• Prohealth Rural Health Services, Inc
• Project Play Therapy, LLC
• Ivy Tidwell Prothro, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.