Individual provider Active NPI

Michelle A Garrett, O.D.

  • Optometrist
  • Middlesboro, KY
National Provider Identifier
1154583185
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2814 Issued in TN
Practice address
1403 Cumberland Ave
Suite a
Middlesboro, KY 40965
Phone
(606) 248-2549
Fax
(606) 248-9188
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2814 TN Primary

Addresses

Primary practice location

1403 Cumberland Ave
Suite a
Middlesboro, KY 40965

Mailing address

1403 Cumberland Ave
Suite a
Middlesboro, KY 40965
Phone (606) 248-2549

Other identifiers 2

IdentifierTypeStateIssuer
1851505366OtherTNGROUP NPI
3945636OtherTNMEDICARE GROUP PTAN

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
I20090226000240 TN Practitioner - Optometry 7012073190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Rivers Eyecare PLLCGroup PAC ID 9234383340, 4 clinicians

Practice addresses (Care Compare)

115 Hedrick Dr
Newport, TN 37821-2930
Phone (423) 623-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2049KYMDRegistered Dietitian
2814TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Five Rivers Eyecare PLLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Southeast Eye Associates, PLLC Optometrist PastSince Apr 1, 2017 Accepting new patients

Locations

204 Emory Dr
Greeneville, TN 37745
Phone (423) 638-4151

1411 W Morris Blvd
Morristown, TN 37813
Phone (423) 587-3474

115 Hedrick Dr
Newport, TN 37821
Phone (423) 587-3474

Organizations & group practices 2

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1154583185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 CUMBERLAND AVE",
            "address_2": "SUITE A",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-2549",
            "fax_number": "606-248-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 CUMBERLAND AVE",
            "address_2": "SUITE A",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-2549",
            "fax_number": "606-248-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1851505366",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "3945636",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.