PRODIGY TRUST COMPANY


Address: 7640 Highway 70 S, Ste 204, Nashville, TN 37221-1758
Phone: 6156622800

PRODIGY TRUST COMPANY (NPI# 1497915920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497915920
Entity Type Organization
Organization Name PRODIGY TRUST COMPANY
Practice Address 7640 Highway 70 S
Ste 204
Nashville
TN 37221-1758
Practice Telephone 6156622800
Practice Fax Number 6156620411
Mailing Telephone 6156622800
Mailing Fax Number 6156620411
Enumeration Date 2008-06-09
Last Update Date 2008-06-09
Authorized Official Name DR. JEFFREY CARR JESSUP (MANAGER)
Authorized Official Telephone 6156622800
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WC0802X Optometrist
Specialization: Corneal and Contact Management
ODT000859 TN Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN MEDICARE DMERC PIN 0792070001 01
TN 0047504 05

Office Location

Street Address 7640 HIGHWAY 70 S
STE 204
City NASHVILLE
State TN
Zip Code 37221-1758

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659375228 Gary J Smith Family Medicine 7640 Highway 70 S, Ste 201, Nashville, TN 37221-1758 2005-06-10
1568847002 Kailee J Noland Physical Therapist 7640 Highway 70 S, Ste. 210, Nashville, TN 37221-1758 2015-07-27
1093136327 Ami Agbabli Dentist 7640 Highway 70 S, #205, Nashville, TN 37221-1758 2014-01-06
1447689500 Erin Wood Physical Therapist 7640 Highway 70 S, Ste. 210, Nashville, TN 37221-1758 2013-11-08
1780018846 Peter Jordan Physical Therapist 7640 Highway 70 S, Ste 210, Nashville, TN 37221-1758 2013-08-26
1164864245 Sarah Robinson Audiologist 7640 Highway 70 S, Suite 207, Nashville, TN 37221-1758 2013-07-18
1093058711 Ronald Edward Ritchie Physical Therapist 7640 Highway 70 S, Suite 104, Nashville, TN 37221-1758 2013-04-01
1831442177 James M. Rynerson, Md Psc Ophthalmology 7640 Highway 70 S, Suite 204, Nashville, TN 37221-1758 2012-10-24
1689955205 April E Shelide Physical Therapist 7640 Highway 70 S, Suite 210, Nashville, TN 37221-1758 2011-09-09
1174816185 John Stephen Rich Jr. Psychiatry & Neurology 7640 Highway 70 S, Suite 110, Nashville, TN 37221-1758 2011-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811596489 Results-ast Jv, LLC Physical Therapist 5700 Temple Road, Nashville, TN 37221 2020-10-23
1336754258 Benjamin David Wilson Pharmacist 8110 Hghway 100, Bellevue, TN 37221 2020-09-09
1205383825 Rachel Marlor Occupational Therapy Assistant 8353 Tn-100, Nashville, TN 37221 2016-09-01
1558710665 Little Harpeth Children's Dentistry, Pllc Dentist 7640 Us Hwy 70 South, Suite 101, Nashville, TN 37221 2016-06-09
1104272376 Kori Meyers Counselor 7837 Old Harding Pike, Nashville, TN 37221 2016-05-06
1255705844 Sarah Shuster Behavioral Analyst 1672 Brockton Lane, Nashville, TN 37221 2015-11-19
1689017337 Clay Weldon Callahan Physical Therapist 908 Falling Water Ct, Nashville, TN 37221 2013-04-12
1801185723 Craig Nicholas Dobson Counselor 1017 Blythe Court West, Nashville, TN 37221 2011-03-31
1811215916 Tamera Carter Nurse Practitioner 7601 Us Route 70, Bellevue, TN 37221 2010-05-13
1770782500 Watson Primary Care and General Orthopaedics, Plc Clinic/Center 7833 Old Harding Pike, Nashville, TN 37221 2007-07-12
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Taxonomy Information

Taxonomy Code 152WC0802X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Corneal and Contact Management

Taxonomy Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548302854 Donelson Eyecare, Pllc Optometrist 2378 Lebanon Pike, Nashville, TN 37214-2411 2007-02-13
1538215777 Kevin Lee Johnson Optometrist 2021 Church St Ste 300, Baptist Hospital, Medical Plaza 2, Nashville, TN 37203-2051 2007-01-27
1417935347 Michael Eugene Gewe Optometrist 18 Windswept Dr, Nashville, IL 62263-5048 2005-12-30
1588006100 Richard G. Langellotti, Od Optometrist 1205 Eastern Ave, Nashville, NC 27856-1814 2013-07-24
1669729497 Sarah Yahner Connolly Optometrist 1801 W End Ave, Suite 1150, Nashville, TN 37203-2526 2012-08-10
1205183035 Bryce Daniel Brown Optometrist 1801 W End Ave, Ste. 1150, Nashville, TN 37203-2526 2012-08-10
1225227135 Michael E Gewe Od PC Optometrist 250 E Elm St, Nashville, IL 62263-1710 2007-10-16
1972673531 Milton J Salomon Optometrist 73 White Bridge Rd, Nashville, TN 37205-1444 2006-11-09
1275582009 Kendall B. Harris Optometrist 524b Donelson Pike, Nashville, TN 37214 2006-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790823201 Mary K Conway Optometrist 7600 H Kingston Pike, Knoxville, TN 37919-5604 2007-02-05
1114085701 Drs. Shields and Shields Optometrist 10219 Kingston Pike, Ste 101, Knoxville, TN 37922-3222 2006-12-05
1841381118 Warwick C Dell Optometrist 8151 Hixson Pike, Hixson, TN 37343-1801 2006-09-28
1710991872 Steven R. Shum Optometrist 2109 West St, Suite 1, Germantown, TN 38138-3837 2006-07-27
1831124353 Tom Kevin Flowers Optometrist 189 W University Pkwy Ste D, Jackson, TN 38305-1671 2006-07-12
1609806637 Lina M Desai Optometrist 11232 W Point Dr, Suite A, Knoxville, TN 37934-2837 2006-07-04
1558306043 Turner Vision of Tennessee, Psc Optometrist 3051 Kinzel Way, Knoxville, TN 37924-2190 2006-06-18
1710920475 Ultra Eyecare Optometrist 3460 Plaza Ave, Memphis, TN 38111-4614 2006-06-13
1386693117 Cathy Lynn Braswell Optometrist 6479 Winchester Rd, Memphis, TN 38115-4257 2006-05-09
1235199985 Brian Bruce Dubes Optometrist 2542 N Main St, Suite 1, Crossville, TN 38555-8756 2006-03-26
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Competitor

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City NASHVILLE
Zip Code 37221

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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