Individual provider Active NPI

Joel Grant Orton, O.D.

  • Optometrist
  • Pulaski, TN
National Provider Identifier
1073696555
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
540 Issued in TN
Practice address
1000 East College Street
Pulaski, TN 38478-0595
Phone
(931) 363-6147
Fax
(931) 363-6155
NPI assigned
Oct 20, 2006
Last updated
Jun 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 540 TN Primary

Addresses

Primary practice location

1000 East College Street
Pulaski, TN 38478-0595

Mailing address

PO Box 595
Pulaski, TN 38478-0595
Phone (931) 363-6147

Other identifiers 2

IdentifierTypeStateIssuer
410049283OtherTNMEDICARE RAILROAD
3592610MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1073696555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384780595",
            "telephone_number": "931-363-6147",
            "fax_number": "931-363-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST COLLEGE STREET",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384780595",
            "telephone_number": "931-363-6147",
            "fax_number": "931-363-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTON",
        "first_name": "JOEL",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410049283",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3592610",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.