Organization Active NPI

Primary Eyecare, PLC

Doing business as Primary Eye Care of Arlington

  • Optometrist
  • Arlington, TN
National Provider Identifier
1952563744
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2510 Issued in TN
Legal business name
PRIMARY EYECARE, PLC
Doing business as
Primary Eye Care of Arlington
Practice address
11860 Cranston Drive
Arlington, TN 38002-4886
Phone
(901) 867-5540
Fax
(901) 867-5575
NPI assigned
Jul 2, 2008
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Artee Nanji, ODNPI 1164568358
Title
President
Phone
(901) 867-5540

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
Optometrist 152W00000X 2510 TN Primary

Addresses

Primary practice location

11860 Cranston Drive
Arlington, TN 38002-4886

Mailing address

11860 Cranston Drive
Arlington, TN 38002-4886
Phone (901) 867-5540

Other names 1

  • Primary Eye Care of Arlington Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000789 TN Part B Supplier - Clinic/Group Practice 7810062650 Receives reassigned benefits from 5 practitioners
Practice locations: Arlington, TN; Memphis, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2074582Primary Eye Care of Arlington11860 Cranston Dr, Arlington, TN 38002Certificate of waiverDec 16, 2027

National Provider Directory

National Provider Directory

Locations

11860 Cranston Dr
Arlington, TN 38002
Phone (901) 867-5540

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1952563744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 CRANSTON DRIVE",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024886",
            "telephone_number": "901-867-5540",
            "fax_number": "901-867-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 CRANSTON DRIVE",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024886",
            "telephone_number": "901-867-5540",
            "fax_number": "901-867-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYECARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "NANJI",
        "authorized_official_first_name": "ARTEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-867-5540",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Eye Care of Arlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.