Organization Active NPI

J Lancaster Rose Jr

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
National Provider Identifier
1003089731
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
J LANCASTER ROSE JR
Practice address
435 Cedar St
Lewisburg, TN 37091-3351
Phone
(931) 359-1467
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
J Lancaster Rose Jr.NPI 1932191954
Title
Optometrist/Owner
Phone
(931) 359-1467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

435 Cedar St
Lewisburg, TN 37091-3351

Mailing address

435 Cedar St
Lewisburg, TN 37091-3351

Other identifiers 2

IdentifierTypeStateIssuer
3596313MedicaidTN
0077625OtherTNBCBS

National Provider Directory

National Provider Directory

Locations

435 Cedar St
Lewisburg, TN 37091
Phone (931) 359-1467

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1003089731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CEDAR ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CEDAR ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913351",
            "telephone_number": "931-359-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J LANCASTER ROSE JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "LANCASTER",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "931-359-1467",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3596313",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0077625",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.