Active NPI
Clearer Vision, LLC
- Ambulatory Surgical Clinic/Center
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 115
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3288083 | Medicaid | TN |
Other names 1
- Perimeter Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0983926 | Perimeter Surgery Center | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Cookeville, TN
- NPI 1831199223
-
- Ophthalmology Physician
- Crossville, TN
- NPI 1063491421
-
- Optometrist
- Cookeville, TN
- NPI 1669437901
-
- Ophthalmology Physician
- Cookeville, TN
- NPI 1356702773
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.