Organization Active NPI

Clearer Vision, LLC

  • Ambulatory Surgical Clinic/Center
  • Cookeville, TN
National Provider Identifier
1013096700
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
115 Issued in TN
Legal business name
CLEARER VISION, LLC
Practice address
1125 Perimeter Park Dr Ste 100
Cookeville, TN 38501-0912
Phone
(931) 646-7058
Fax
(931) 646-7059
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Megan A Hastings
Title
Office Manager
Phone
(931) 646-7058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 115 TN Primary

Addresses

Primary practice location

1125 Perimeter Park Dr Ste 100
Cookeville, TN 38501-0912

Mailing address

1125 Perimeter Park Dr Ste 100
Cookeville, TN 38501-0912
Phone (931) 646-7058

Other identifiers 1

IdentifierTypeStateIssuer
3288083MedicaidTN

Other names 1

  • Perimeter Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150429001163 TN Part B Supplier - Ambulatory Surgical Center 3375862196 Practice locations: Cookeville, TN

Ambulatory surgical center certification: CCN 44C0001108

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PERIMETER SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
May 29, 2001
Last certification
Jan 31, 2018
Ownership / control type
Proprietary
Facility address
1125 Perimeter Park Drive Suite 100
Cookeville, TN 38501

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0983926Perimeter Surgery Center1125 Perimeter Park Drive Suite 100, Cookeville, TN 38501Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory

Locations

1125 Perimeter Park Dr
Cookeville, TN 38501
Phone (931) 528-1304

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1013096700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PERIMETER PARK DR STE 100",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010912",
            "telephone_number": "931-646-7058",
            "fax_number": "931-646-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PERIMETER PARK DR STE 100",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010912",
            "telephone_number": "931-646-7058",
            "fax_number": "931-646-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARER VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-646-7058"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3288083",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perimeter Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perimeter Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.