SOUTHERN OPTICAL SERVICE (NPI# 1821294505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821294505 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OPTICAL SERVICE |
| Practice Address |
1916 Patterson St Suite 104 Nashville TN 37203-2154 |
| Practice Telephone | 6153291731 |
| Practice Fax Number | 6153299899 |
| Mailing Telephone | 6153291731 |
| Mailing Fax Number | 6153299899 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | CHARLES FLOYD BIBB (PRESIDENT) |
| Authorized Official Telephone | 6153291731 |
| Authorized Official Credential | LIC DISP OPTICIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DPO226 | TN | Eye and Vision Services Providers |
| Street Address |
1916 PATTERSON ST SUITE 104 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035355 | Laboratory for Kidney Pathology Inc | Pathology | 1916 Patterson St, Suite 501, Nashville, TN 37203-2120 | 2005-07-05 |
| 1003468422 | Access Dental | Clinic/Center | 1916 Patterson St, Nashville, TN 37203-2120 | 2019-07-16 |
| 1457892614 | Gastrointestinal Health Partners | Internal Medicine | 1916 Patterson St, #503, Nashville, TN 37203-2120 | 2017-03-20 |
| 1225582802 | Caroline Peake | Physical Therapist | 1916 Patterson St, Suite 101, Nashville, TN 37203-2120 | 2016-08-11 |
| 1982097218 | Sarah Cole | Nurse Practitioner | 1916 Patterson St, Ste 203, Nashville, TN 37203-2120 | 2015-03-11 |
| 1891193041 | Boston Medical Group Tennessee L.L.C. | Urology | 1916 Patterson St, Suite 715, Nashville, TN 37203 | 2014-12-19 |
| 1215330410 | Ivy Y Jeffries | Counselor | 1916 Patterson St, Suite 502, Nashville, TN 37203-2120 | 2014-10-01 |
| 1457753006 | Jeffries Counseling & Consulting Services | Counselor | 1916 Patterson St, Suite 502, Nashville, TN 37203-2120 | 2014-09-25 |
| 1780086488 | Ashley P Theobald | Physical Therapist | 1916 Patterson St, Ste. 101, Nashville, TN 37203-2120 | 2014-09-24 |
| 1619377983 | Andrea M Wehman | Physical Therapist | 1916 Patterson St, Ste. 101, Nashville, TN 37203-2120 | 2014-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922452952 | National Vision, Inc. | Technician/Technologist | 7088 Charlotte Pike, Nashville, TN 37209-4210 | 2016-04-15 |
| 1679736532 | Mary Ellen Thompson | Technician/Technologist | 2531 West End Ave, Nashville, TN 37203-1423 | 2008-07-09 |
| 1790951630 | Felda L Stacey | Technician/Technologist | 2010 Church St Ste 202, Nashville, TN 37203-2001 | 2008-04-30 |
| 1467627422 | Mary Jane Grannis | Technician/Technologist | 3920 Hillsboro Cir, Nashville, TN 37215-2707 | 2008-04-29 |
| 1841354651 | Wal-mart Stores East, Lp | Technician/Technologist | 4040 Nolensville Pike, Nashville, TN 37211-4516 | 2006-12-19 |
| 1922473461 | Wal-mart Stores East, Lp | Technician/Technologist | 1205 Eastern Ave, Nashville, NC 27856-1814 | 2015-12-09 |
| 1245661438 | Gregory Michael Davis | Technician/Technologist | 3920 Hillsboro Cir, Nashville, TN 37215-2707 | 2013-12-12 |
| 1164853354 | Christopher Moore Milam | Technician/Technologist | 3920 Hillsboro Cir, Nashville, TN 37215-2707 | 2013-12-12 |
| 1932545332 | Ronda Faye Dodds | Technician/Technologist | 1916 Patterson St, Doctors Pavilion Suite 104, Nashville, TN 37203-2120 | 2013-05-13 |
| 1316108681 | Tammy K. Von Almen | Technician/Technologist | 2010 Church St, Suite 202, Nashville, TN 37203-2012 | 2008-06-19 |
| Find all providers in NASHVILLE | ||||
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| 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.