Caroline P Babb-Poveromo
Individual provider Active NPI Optometrist · Knoxville, TN
NPI 1194172866 · NPPES record last updated Sep 8, 2016
Key facts
- NPI
- 1194172866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TN3284 (TN)
- Practice address
- 6719 Maynardville Pike
Knoxville, TN 37918-5348 - Phone
- (865) 922-3937
- Fax
- (865) 922-8412
- NPI assigned
- May 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Steven Elliott OD and Associates Inc
Practice addresses (Care Compare)
6719 Maynardville Pike
Knoxville, TN 37918-5308
Phone (865) 377-4141
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160913000518 | TN | Practitioner - Optometry | 5799071049 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven D. Elliott, O.D. & Associates, Inc. | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TN3284 | TN | Yes |
Addresses
Primary practice location
6719 Maynardville Pike
Knoxville, TN 37918-5348
Mailing address
6719 Maynardville Pike
Knoxville, TN 37918-5348
Phone (865) 922-3937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TN3284 | Other | TN | STATE LICENSE |
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.