Organization Active NPI

Stewart Shofner MD PC

Doing business as Shofner Vision Center

  • Ophthalmology Physician
  • Nashville, TN
National Provider Identifier
1942517743
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20369 Issued in TN
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

Updated by the provider on May 22, 2014

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01055839OtherTNAMERIGROUP
4402408OtherTNAETNA
P00116360OtherTNRAILROAD MEDICARE
0102059OtherTNBCBST
3050851OtherTNMEDICARE PIN

Other names 1

  • Shofner Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.