Jason Wayne Wilkerson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0000002007 Issued in TN

Practice address

506 Willow Street
Springfield, TN 37172

Phone

(615) 384-8435

Fax

(615) 384-0855

NPI assigned

Nov 9, 2006

Last updated

Mar 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springfield Primary Eye Care IncGroup PAC ID 5890178545, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Springfield Primary Eye Care Inc

  dba Springfield Primary Eye Care

  • Optometrist
  • Springfield, TN
  • NPI 1417691585
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1215007026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 WILLOW STREET",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "37172",
            "telephone_number": "615-384-8435",
            "fax_number": "615-384-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 WILLOW STREET",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "37172",
            "telephone_number": "615-384-8435",
            "fax_number": "615-384-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002007",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN2007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3943216",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney E Westbrook, CCC-SLP
• John Coleman Westerkamm, MD
• Jason Wheat, PHARMD
• Susan White
• George Whitten, PTA
• April Wilkinson, RN
• Jenna Grace Williams, COTA/L
• Kathy Yvonne Williams, CPM-TN
• Molly Williams, RN
• Robert W Williams, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.