VANDERBILT UNIVERSITY MEDICAL CENTER NPI 1659738383

Eyewear Supplier in Lebanon, TN

NPI 1659738383 Organization Eyewear Supplier CLIA Number 44D2185323 CLIA Certificate of Waiver

About VANDERBILT UNIVERSITY MEDICAL CENTER

Vanderbilt University Medical Center is a provider established in Lebanon, Tennessee specializing in eyewear supplier. The NPI number of Vanderbilt University Medical Center is 1659738383 and was assigned on January 2016. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Charles Wright Pinson Md (Vice Chancellor For Health Affairs)

The CLIA number of Vanderbilt University Medical Center is 44D2185323 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Vanderbilt University Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1659738383

Provider NameVANDERBILT UNIVERSITY MEDICAL CENTER
Provider Location Address1670 W MAIN ST SUITE 100 LEBANON, TN 37087
Provider Mailing Address719 THOMPSON LN STE 30330 NASHVILLE, TN 37204
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-26-2016
Last Update Date03-14-2016


Primary Taxonomy

Taxonomy Code332H00000X
ClassificationEyewear Supplier
TypeSuppliers
License StateTN
Taxonomy DescriptionAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Business Address

VANDERBILT UNIVERSITY MEDICAL CENTER
1670 W MAIN ST
SUITE 100
LEBANON, TN
ZIP 37087
Phone: (615) 453-5155
Fax: (615) 444-5915

Get Directions


Mailing Address

VANDERBILT UNIVERSITY MEDICAL CENTER
719 THOMPSON LN STE 30330
NASHVILLE, TN
ZIP 37204
Phone: (615) 936-2000
Fax: (615) 936-6065



Authorized Official

Authorized Official NameDR. CHARLES WRIGHT PINSON MD
Authorized Official TitleVICE CHANCELLOR FOR HEALTH AFFAIRS
Authorized Official Phone(615) 936-2000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1659738383 is:

CLIA Number44D2185323
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
10370G9222MEDICARE PIN (08)TN

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609874320 F KIRK BOWLES MD
Individual
Ophthalmology1670 W MAIN ST STE 100
LEBANON, TN 37087
(615) 453-5155
1578564423DR. PETRINA L. MEYER O.D.
Individual
Optometrist1670 W MAIN ST SUITE 100
LEBANON, TN 37087
(615) 453-5155
1306847009DR. WILLIAM D. SCHENK
Individual
Ophthalmology1670 W MAIN ST STE 100
LEBANON, TN 37087
(615) 453-5155
1407992878WILSON COUNTY EYE SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)1670 W MAIN ST SUITE 120
LEBANON, TN 37087
(615) 453-5155
1528194305LEBANON EYE ASSOCIATES PC
Organization
Ophthalmology1670 W MAIN ST SUITE 100
LEBANON, TN 37087
(615) 453-5155
1326171794WILSON COUNTY EYE SURGERY CENTER, LLC
Organization
Anesthesiology1670 W MAIN ST SUITE 120
LEBANON, TN 37087
(615) 453-5155
1063636850WILSON COUNTY EYE SURGERY CTR
Organization
Durable Medical Equipment & Medical Supplies1670 W MAIN ST STE 120
LEBANON, TN 37087
(615) 453-5155
1003031626LEBANON EYE ASSOCIATES PC
Organization
Optometrist1670 W MAIN ST STE 100
LEBANON, TN 37087
(615) 453-5155
1386857647LEBANON EYE ASSOCIATES
Organization
Durable Medical Equipment & Medical Supplies1670 W MAIN ST STE 100
LEBANON, TN 37087
(615) 453-5155
1093989014LEBANON EYE ASSOCIATES
Organization
Ophthalmology1670 W MAIN ST STE 100
LEBANON, TN 37087
(615) 453-5155
1861769606VANDERBILT UNIVERSITY
Organization
Eyewear Supplier1670 W MAIN ST
LEBANON, TN 37087
(615) 453-5155
1295733772 RANDOLPH R EVANS MD
Individual
Ophthalmology1670 W MAIN ST STE100
LEBANON, TN 37087
(615) 453-5155
1801177308 AMANDA JANE COLSON A.P.N
Individual
Nurse Practitioner (Family)1670 W MAIN ST SUITE 140
LEBANON, TN 37087
(615) 453-9492
1477925550COMMUNITY QUICK CARE
Organization
Nurse Practitioner1670 W MAIN ST SUITE 140
LEBANON, TN 37087
(614) 493-9492

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.