Eyecare Plus CL PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE PLUS CL PLLC

Practice address

2024 Wilma Rudolph Blvd
Clarksville, TN 37040-6879

Phone

(931) 551-3031

Fax

(931) 552-7488

NPI assigned

May 22, 2006

Reactivated

Apr 24, 2024

Last updated

Apr 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheyanne Mullis

Title

Office Manager

Phone

(615) 988-5303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kylie Bible, OD

  • Optometrist
  • Nashville, TN
  • NPI 1538851555
  Medicare reassignment Care Compare group NPD
• Lindsey Buckholz

  • Optometrist
  • Murfreesboro, TN
  • NPI 1114779774
  Medicare reassignment Care Compare group NPD
• Peyton Turner, OD

  • Optometrist
  • Clarksville, TN
  • NPI 1508621996
  Medicare reassignment Care Compare group NPD
• Emily Rose Moody, OD

  • Optometrist
  • Hendersonville, TN
  • NPI 1124696505
  Medicare reassignment Care Compare group
• Alexis Meyer, OD

  • Optometrist
  • Nashville, TN
  • NPI 1518795194
  Medicare reassignment NPD
• Zachary Everette Fulton

  • Student in an Organized Health Care Education/Training Program
  • Memphis, TN
  • NPI 1861332280
  Medicare reassignment
• Jared Iverson, OD

  • Optometrist
  • Nashville, TN
  • NPI 1649335548
  Medicare reassignment
• Alexander J Kaminski, OD

  • Optometrist
  • Nashville, TN
  • NPI 1205591328
  Medicare reassignment
• Kevin D Schmidt, OD

  • Optometrist
  • Antioch, TN
  • NPI 1063403095
  Medicare reassignment
• Anna Soyoung Yi, OD

  • Optometrist
  • Antioch, TN
  • NPI 1043524283
  Medicare reassignment
• Blake Aaron Lemay, OD

  • Optometrist
  • Milton, WI
  • NPI 1740963941

  TN

  Medicare reassignment
• Charles Garry Collins, OD

  • Optometrist
  • Brentwood, TN
  • NPI 1861482093
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1104871037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 WILMA RUDOLPH BLVD",
            "address_2": "SUITE C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406620",
            "telephone_number": "931-551-3031",
            "fax_number": "931-552-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406879",
            "telephone_number": "931-551-3031",
            "fax_number": "931-552-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE PLUS CL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-04-24",
        "certification_date": "2021-08-05",
        "deactivation_date": "2024-02-23",
        "reactivation_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "MULLIS",
        "authorized_official_first_name": "CHEYANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-988-5303"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisia Everson
• Sonia Evoy, RN, APRN
• Latoya Ewert
• William J Ewert
• Georgiana Nadine Exum, RN
• Eyesthetics PLLC
• Taylor Eymard
• Fabulous Community Services, Inc.
• Alexis Ann Faedtke
• Thomas Faerber, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.