Organization Active NPI

Cumberland Prosthetics, Inc

  • Ocularist
  • Nashville, TN
National Provider Identifier
1952367211
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
Legal business name
CUMBERLAND PROSTHETICS, INC
Practice address
329 21St Ave N Ste 2
Nashville, TN 37203-1855
Phone
(615) 321-5611
Fax
(615) 327-3871
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Mrs. Sherry A Richardson, BCO, BADO
Title
Owner
Phone
(615) 321-5611

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OcularistGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1700X Primary
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

329 21St Ave N Ste 2
Nashville, TN 37203-1855

Mailing address

329 21St Ave N Ste 2
Nashville, TN 37203-1855
Phone (615) 321-5611

Other identifiers 1

IdentifierTypeStateIssuer
1455015MedicaidTN

Other names 1

  • Richardson Ocular Prosthetic, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930056298 TN DME Supplier - Ocularist 1254533664 Practice locations: Nashville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cumberland Prosthetics, Inc329 21St Ave N, Nashville, TN 37203-1855(615) 321-5611 Ocular Prostheses Does not accept assignmentParticipating since Jan 3, 2006

National Provider Directory

National Provider Directory

Locations

210 25th Ave N
Ste 515
Nashville, TN 37203
Phone (615) 321-5611

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1952367211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 21ST AVE N STE 2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031855",
            "telephone_number": "615-321-5611",
            "fax_number": "615-327-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 21ST AVE N STE 2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031855",
            "telephone_number": "615-321-5611",
            "fax_number": "615-327-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-321-5611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCO, BADO"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455015",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richardson Ocular Prosthetic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.