Organization Active NPI

L. Edwin Rice, Jr., MD, PLLC

  • Ophthalmology Physician
  • Madison, TN
National Provider Identifier
1942484001
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0013734 Issued in TN
Legal business name
L. EDWIN RICE, JR., MD, PLLC
Practice address
607 W Due West Ave
Ste. 115
Madison, TN 37115-4431
Phone
(615) 869-7481
Fax
(615) 860-7482
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Leonidas Edwin Rice Jr., MDNPI 1194891838
Title
President
Phone
(615) 860-7481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD0013734 TN Primary

Addresses

Primary practice location

607 W Due West Ave
Ste. 115
Madison, TN 37115-4431

Mailing address

607 W Due West Ave
Ste. 115
Madison, TN 37115-4431
Phone (615) 869-7481

Other identifiers 1

IdentifierTypeStateIssuer
3371932MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051222000193 TN Part B Supplier - Clinic/Group Practice 1052333788 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, TN

National Provider Directory

National Provider Directory

Locations

607 W Due West Ave
Ste 115
Madison, TN 37115
Phone (615) 860-7481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1942484001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE",
            "address_2": "STE. 115",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154431",
            "telephone_number": "615-869-7481",
            "fax_number": "615-860-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE",
            "address_2": "STE. 115",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154431",
            "telephone_number": "615-869-7481",
            "fax_number": "615-860-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. EDWIN RICE, JR., MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "LEONIDAS",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-860-7481",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0013734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3371932",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.