NPIMap

Organization Active NPI

Lebanon Eye Associates

  • Ophthalmology Physician
  • Mt Juliet, TN
National Provider Identifier
1962643429
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
18805 Issued in TN
Legal business name
LEBANON EYE ASSOCIATES
Practice address
5002 Crossing Circle
Suite 201
Mt Juliet, TN 37122
Phone
(615) 453-5155
Fax
(615) 444-5915
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Ms. Kimberly A Franks
Title
Administrator
Phone
(615) 453-5155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 18805 TN Primary

Addresses

Primary practice location

5002 Crossing Circle
Suite 201
Mt Juliet, TN 37122

Mailing address

1670 W Main St
Ste 100
Lebanon, TN 37087-1344
Phone (615) 453-5155

Other identifiers 1

IdentifierTypeStateIssuer
3389788MedicaidTN

Other names 1

  • THE EYE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lebanon Eye Associates14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1962643429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 W MAIN ST",
            "address_2": "STE 100",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871344",
            "telephone_number": "615-453-5155",
            "fax_number": "615-444-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 CROSSING CIRCLE",
            "address_2": "SUITE 201",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-453-5155",
            "fax_number": "615-444-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-453-5155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "18805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3389788",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.