Jason Fort, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3536 Issued in TN

Practice address

307 Geri St
Lawrenceburg, TN 38464-2361

Phone

(931) 762-1100

Fax

(931) 762-2626

NPI assigned

Jun 3, 2019

Sex

Male

Sole proprietor

No

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

University Alabama Birmingham - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• MS PPO C-SNP
• MS PPO
• MS PPO D-SNP

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.

• Lawrenceburg Eye Care, PLLC

  • Optometrist
  • Lawrenceburg, TN
  • NPI 1770131047
  Medicare reassignment NPD Authorized official
• Pulaski Eye Care, Inc.

  • Optometrist
  • Pulaski, TN
  • NPI 1851066872
  Medicare reassignment NPD Authorized official
• L. Allan Loyd, O.D.

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceburg, TN
  • NPI 1427223247
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1013575273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 GERI ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GERI ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642361",
            "telephone_number": "931-762-1100",
            "fax_number": "931-762-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORT",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Choice Health, LLC
• Firstcare Dermatology of Lawrenceburg, PLLC
• Erica Dale Flake, FPMHNP-BC
• Warren Clyde Flemmer, D.D.S.
• Brittany Rebecca Floyd, M.S., CCC-SLP
• Daniel Fowler
• Frances a Berry-Brown MD
• Cynthia J Franklin, RDMS
• Whitney Brooke Franklin
• Shannon Lynn Franks, CMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.