Chad William Cullison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2365 Issued in TN

Practice address

2059 Houston Levee Rd
Suite #125
Germantown, TN 38139-6970

Phone

(901) 850-8572

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cullison Eye CareGroup PAC ID 4284942715, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• TN PPO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• TN PPO C-SNP
• MS PPO
• MS PPO D-SNP
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• MS PPO C-SNP
• AL HMO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cullison Eye Care

  • Optometrist
  • Germantown, TN
  • NPI 1578944674
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1013050632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 HOUSTON LEVEE RD",
            "address_2": "SUITE #125",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396970",
            "telephone_number": "901-850-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 HOUSTON LEVEE RD",
            "address_2": "SUITE #125",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396970",
            "telephone_number": "901-850-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLISON",
        "first_name": "CHAD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skye Renee Crutcher, AU.D
• Cameron Michael Crutchfield, APN, FNP
• Elizabeth Cruz, MD
• Jiang Cui, M.D.
• Cullison Eye Care
• Cassie Brinker Cummings
• Emily Wiginton Cummings
• Angela Curl, LPN
• Patrick M Curlee Sr., M.D.
• Currey Family Eyewear

• Optometrist in Germantown, TN
• Providers in Germantown, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.