Healthcare Provider Details

I. General information

NPI: 1013058361
Provider Name (Legal Business Name): NUVUE OPTICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 SUGAR VALLEY DR SUITE 108
NASHVILLE TN
37211-7091
US

IV. Provider business mailing address

6601 SUGAR VALLEY DR SUITE 108
NASHVILLE TN
37211-7091
US

V. Phone/Fax

Practice location:
  • Phone: 615-419-3331
  • Fax: 615-612-5605
Mailing address:
  • Phone: 615-419-3331
  • Fax: 615-612-5605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1855
License Number StateTN

VIII. Authorized Official

Name: DR. DAVID AFSHIN GAVAMI IV
Title or Position: PRESIDENT
Credential: O.D.
Phone: 615-419-3331