Individual provider Active NPI

Elise Svennevik Bolstad, OD

  • Optometrist
  • Nashville, TN
National Provider Identifier
1962029280
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3617 Issued in TN
Practice address
5554 Franklin Pike Ste 100
Nashville, TN 37220-2131
Phone
(615) 373-4747
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3617 TN Primary

Addresses

Primary practice location

5554 Franklin Pike Ste 100
Nashville, TN 37220-2131

Mailing address

8272 Middlewick LN
Nolensville, TN 37135-4002
Phone (615) 364-1040

Other names 1

  • Elise Lou Svennevik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821002913 TN Practitioner - Optometry 5092131953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nolo Eye Care Eyewear Gallery LLCGroup PAC ID 8921406117, 3 clinicians

Practice addresses (Care Compare)

7180 Nolensville Rd
Suite 1E
Nolensville, TN 37135-2997
Phone (770) 778-7309

Merit-based Incentive Payment System (MIPS)

Final score
65.16 of 100Reported as individual
Quality
30.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3617TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Eyecare, LLC Optometrist CurrentSince Aug 4, 2020 Accepting new patients

Locations

5554 Franklin Pike
Ste 100
Nashville, TN 37220
Phone (615) 373-4747

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1962029280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8272 MIDDLEWICK LN",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371354002",
            "telephone_number": "615-364-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 FRANKLIN PIKE STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372202131",
            "telephone_number": "615-373-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSTAD",
        "first_name": "ELISE",
        "middle_name": "SVENNEVIK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "SVENNEVIK",
            "middle_name": "LOU",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.