Active NPI
Stewart Shofner MD PC
Doing business as Shofner Vision Center
- Ophthalmology Physician
- Nashville, TN
National Provider Identifier
1942517743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20369
- Legal business name
- STEWART SHOFNER MD PC
- Doing business as
- Shofner Vision Center
- Practice address
- 2021 Church St
Suite 300
Nashville, TN 37203-2021 - Phone
- (615) 340-4733
- Fax
- (615) 340-4734
- NPI assigned
- Sep 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Whiteside
- Title
- Practice Administrator
- Phone
- (615) 340-4733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 20369 | TN | Primary |
Addresses
Primary practice location
2021 Church St
Suite 300
Nashville, TN 37203-2021
Mailing address
2021 Church St
Suite 300
Nashville, TN 37203-2021
Phone (615) 340-4733
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01055839 | Other | TN | AMERIGROUP |
| 4402408 | Other | TN | AETNA |
| P00116360 | Other | TN | RAILROAD MEDICARE |
| 0102059 | Other | TN | BCBST |
| 3050851 | Other | TN | MEDICARE PIN |
Other names 1
- Shofner Vision Center
National Provider Directory
National Provider DirectoryLocations
2004 Hayes St
Ste 335
Nashville, TN 37203
Phone (615) 340-4733
2021 Church St
Ste 300
Nashville, TN 37203
Phone (615) 340-4733
2021 Church St
Ste 303
Nashville, TN 37203
Phone (615) 340-4733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Nashville, TN
- NPI 1427056993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400716800000",
"number": "1942517743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 CHURCH ST",
"address_2": "SUITE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032021",
"telephone_number": "615-340-4733",
"fax_number": "615-340-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 CHURCH ST",
"address_2": "SUITE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032021",
"telephone_number": "615-340-4733",
"fax_number": "615-340-4734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEWART SHOFNER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-01",
"last_updated": "2014-05-22",
"status": "A",
"authorized_official_last_name": "WHITESIDE",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "615-340-4733",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TN",
"license": "20369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01055839",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4402408",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00116360",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "0102059",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "3050851",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shofner Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.