Healthcare Provider Details

I. General information

NPI: 1194186700
Provider Name (Legal Business Name): VANDERBILT UNIVERSITY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 PIERCE AVE
NASHVILLE TN
37232-0025
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-2020
  • Fax: 615-936-1540
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES WRIGHT PINSON
Title or Position: VICE CHANCELLOR FOR HEALTH AFFAIRS
Credential: MD
Phone: 615-936-2000