Provider Demographics
NPI:1003359233
Name:BERRY FARMS EYECARE, PLLC
Entity Type:Organization
Organization Name:BERRY FARMS EYECARE, PLLC
Other - Org Name:JANA CRIM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CRIM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-905-8190
Mailing Address - Street 1:40 MOSS LN STE 110
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1455
Mailing Address - Country:US
Mailing Address - Phone:615-905-8190
Mailing Address - Fax:615-905-8938
Practice Address - Street 1:40 MOSS LN STE 110
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-1455
Practice Address - Country:US
Practice Address - Phone:615-905-8190
Practice Address - Fax:615-905-8938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-20
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2332152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty