Organization Active NPI

Michael F. Lett, M.D. P.C.

Doing business as Michael F. Lett, M.D.

  • Ophthalmology Physician
  • Knoxville, TN
National Provider Identifier
1124214721
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
TN12161 Issued in TN
Legal business name
MICHAEL F. LETT, M.D. P.C.
Doing business as
Michael F. Lett, M.D.
Practice address
11730 Kingston Pike
Knoxville, TN 37934-3827
Phone
(865) 966-8770
Fax
(865) 777-3937
NPI assigned
Sep 18, 2007
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Michael F. Lett, M.D.NPI 1336188648
Title
Owner
Phone
(865) 966-8770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X TN12161 TN Primary

Addresses

Primary practice location

11730 Kingston Pike
Knoxville, TN 37934-3827

Mailing address

11730 Kingston Pike
Knoxville, TN 37934-3827
Phone (865) 966-8770

Other names 1

  • Michael F. Lett, M.D. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111000162 TN Part B Supplier - Clinic/Group Practice 5698798171 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

11730 Kingston Pike
Knoxville, TN 37934
Phone (865) 966-8770

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/K50zk9n5d0FtfHiP6kL9kMMGuWk1O10F/

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1124214721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11730 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343827",
            "telephone_number": "865-966-8770",
            "fax_number": "865-777-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11730 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343827",
            "telephone_number": "865-966-8770",
            "fax_number": "865-777-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F. LETT, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "LETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-966-8770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "TN12161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael F. Lett, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.