Individual provider Active NPI

Chalise Lynne Francisco, O.D.

  • Optometrist
  • Jackson, TN
National Provider Identifier
1124475793
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3278 Issued in TN
Practice address
1000 Vann Dr Ste a
Jackson, TN 38305-6062
Phone
(731) 668-3018
Fax
(731) 660-6811
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3278 TN Primary

Addresses

Primary practice location

1000 Vann Dr Ste a
Jackson, TN 38305-6062

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other names 1

  • Chalise Lynne Maybee Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220419000143 TN Practitioner - Optometry 7214324466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Center, LLCGroup PAC ID 9537231212, 3 clinicians

Practice addresses (Care Compare)

1000 Vann Dr
Suite a
Jackson, TN 38305-6062
Phone (731) 668-3018

142 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 587-3555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3278TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince May 16, 2022 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince May 16, 2022 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

629 Market St
Ste 115
Chattanooga, TN 37402
Phone (423) 265-4306

472 W Poplar Ave
Ste 102
Collierville, TN 38017
Phone (901) 329-8055

1605 N Germantown Pkwy
Ste 101
Cordova, TN 38016
Phone (901) 379-2021

400 US Highway 51 Byp W
Dyersburg, TN 38024
Phone (731) 286-2744

2075 Exeter Rd
Ste 70
Germantown, TN 38138
Phone (901) 754-2020

1000 Vann Dr
Ste A
Jackson, TN 38305
Phone (731) 668-3018

6150 Poplar Ave
Ste 115
Memphis, TN 38119
Phone (901) 682-3937

7825 Winchester Rd
Ste 117
Memphis, TN 38125
Phone (901) 365-9732

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1124475793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VANN DR STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056062",
            "telephone_number": "731-668-3018",
            "fax_number": "731-660-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCISCO",
        "first_name": "CHALISE",
        "middle_name": "LYNNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHALISE",
            "last_name": "MAYBEE",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.