Mt Juliet Family Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

1166 Issued in TN

Legal business name

MT JULIET FAMILY VISION CENTER

Practice address

830 N Mount Juliet Rd
Mount Juliet, TN 37122-3391

Phone

(615) 758-2501

Fax

(615) 758-2524

NPI assigned

Jan 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael K Davis, ODNPI 1477695385

Title

Optometrist

Phone

(615) 758-2501

Specialties & licenses 2

Addresses

Locations

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.

• Michael K Davis, O.D.

  • Optometrist
  • Mount Juliet, TN
  • NPI 1477695385
  Authorized official Same address or phone

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1982684106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223391",
            "telephone_number": "615-758-2501",
            "fax_number": "615-758-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223391",
            "telephone_number": "615-758-2501",
            "fax_number": "615-758-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT JULIET FAMILY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "615-758-2501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1166",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lee Mountain, D.O.
• Pamela Sue Mowry, PTA
• Edward Winter Moyers, PT
• Kayla Moyers
• Mt Juliet Chiropractic PC
• Mt Juliet Family Vision PC
• Mt Juliet Health Care Center LLC
• Mt Juliet Modern Dentistry PC (Mt Juliet Modern Dentistry)
• Mt. Juliet Counseling
• Mt. Juliet Dental Group, PC (Mt. Juliet Dental Group)

• Optometrist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.