Regina J Elkins OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TN1419 Issued in TN

Legal business name

REGINA J ELKINS OD LLC

Practice address

205 1/2 E Public SQ
Centerville, TN 37033-1601

Phone

(931) 729-2190

Fax

(931) 729-2805

NPI assigned

Sep 17, 2012

Last updated

Aug 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regina J Elkins, O.D.NPI 1891892428

Title

Owner/Optometrist

Phone

(931) 729-2190

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Regina J Elkins, O.D.

  • Optometrist
  • Centerville, TN
  • NPI 1891892428
  Authorized official Same address or phone

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1962752923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 1/2 E PUBLIC SQ",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331601",
            "telephone_number": "931-729-2190",
            "fax_number": "931-729-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 1/2 E PUBLIC SQ",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331601",
            "telephone_number": "931-729-2190",
            "fax_number": "931-729-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA J ELKINS OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "931-729-2190",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN1419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "103G702347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shan Parker, RPH
• Barry S Pendergrass, DDS
• Loretta Pentlicki, APRN, PMHNP
• Kimberley Michelle Primm, R.N.
• Robert Carl Reeves, APRN-BC
• Regina J. Elkins, O.D.
• Reins Recovery Center
• Robert Wilson, DC, PLLC (Life Source of Centerville)
• Andy Allen Ross, DPT
• Saint Thomas Health (Ascension Rx 1206)

• Optometrist in Centerville, TN
• Providers in Centerville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.