Active NPI
J Lancaster Rose Jr
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
National Provider Identifier
1003089731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- J Lancaster Rose Jr.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3596313 | Medicaid | TN | |
| 0077625 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Lewisburg, TN
- NPI 1932191954
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.