MEDICARE: DR. SUSAN N KEGARISE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1459	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	62-1827648	OTHER	TN	TAX ID

General Provider Information

NPI Number	:	1184617680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN N KEGARISE O.D.

Provider Business Mailing Address
First Line	:	524B DONELSON PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3729
Country	:	US
Telephone Number	:	615-889-0147
Fax Number	:	615-889-2700

Provider Business Practice Location Address
First Line	:	524B DONELSON PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3729
Country	:	US
Telephone Number	:	615-889-0147
Fax Number	:	615-889-2700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1730194739 — WALGREEN CO
Practice Location Address:

518 DONELSON PIKE
NASHVILLE, TN
37214-3729

Practice Phone: 615-883-5108
Practice Fax:

1902095581 — DR. TRACY WINTON PATTON O.D.
Practice Location Address:

524B DONELSON PIKE
NASHVILLE, TN
37214-3729

Practice Phone: 615-889-0147
Practice Fax: 615-889-2700

1336422781 — TORRI FULLER PHARMD
Practice Location Address:

530 DONELSON PIKE
NASHVILLE, TN
37214-3729

Practice Phone: 615-889-2511
Practice Fax:

1851676100 — HOLLY GASKINS PHARMD
Practice Location Address:

518 DONELSON PIKE
NASHVILLE, TN
37214-3729

Practice Phone: 615-883-5108
Practice Fax:

1457637555 — RYAN PAULLET PHARMD
Practice Location Address:

518 DONELSON PIKE
NASHVILLE, TN
37214-3729

Practice Phone: 615-883-5108
Practice Fax:

1972880359 — MATILDA H SHIELDS DPH
Practice Location Address:

518 DONELSON PIKE
NASHVILLE, TN
37214-3729

Practice Phone: 615-883-5108
Practice Fax:

Directions to “ DR. SUSAN N KEGARISE O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.