Individual provider Active NPI

Daniel J Schimmel, O.D.

  • Optometrist
  • Goodlettsville, TN
National Provider Identifier
1972563021
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD650 Issued in TN
Practice address
520 Rivergate Parkway
Goodlettsville, TN 37072-2030
Phone
(615) 859-3937
Fax
(615) 859-3919
NPI assigned
Mar 24, 2006
Last updated
May 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0000000650 TN
Optometrist 152W00000X OD650 TN Primary

Addresses

Primary practice location

520 Rivergate Parkway
Goodlettsville, TN 37072-2030

Mailing address

520 Rivergate Parkway
Goodlettsville, TN 37072-2030
Phone (615) 859-3937

Other identifiers 1

IdentifierTypeStateIssuer
35939941MedicaidTN

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
I20070829000624 TN Practitioner - Optometry 3971696402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD0000000650TNMDOptometrist
OD650TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dale Pilkinton MD PC Optometrist CurrentSince Jun 23, 2020 Accepting new patients
Nashville TN Ophthalmology ASC LLC Past Accepting new patients
Tennessee Ophthalmology Consultants P.C. Past Accepting new patients

Locations

300 20th Ave N
Ste 504
Nashville, TN 37203
Phone (615) 329-7890

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1972563021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PARKWAY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PARKWAY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMMEL",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000000650",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35939941",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.