Active NPI
Susan J Laws, OD
- Optometrist
- Winchester, TN
National Provider Identifier
1215070529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1699
- Practice address
- 731 Dinah Shore Blvd
Winchester, TN 37398-1424 - Phone
- (931) 962-1266
- Fax
- (931) 962-1221
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1699 | TN | Primary |
Addresses
Primary practice location
731 Dinah Shore Blvd
Winchester, TN 37398-1424
Mailing address
731 Dinah Shore Blvd
Winchester, TN 37398-1424
Phone (931) 962-1266
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3029208 | Other | TN | BCBST |
| 410034849 | Other | TN | RAILROAD MEDICARE |
| 2240316 | Other | TN | UNITED HEALTH CARE |
| 3940457 | Medicaid | TN | |
| 100026828 | Other | TN | PHP TENNCARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050708000763 | TN | Practitioner - Optometry | 1850327180 | Practice locations: Winchester, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
731 Dinah Shore Blvd
Winchester, TN 37398-1424
Phone (931) 962-1266
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1699 | TN | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1215070529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 DINAH SHORE BLVD",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373981424",
"telephone_number": "931-962-1266",
"fax_number": "931-962-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 DINAH SHORE BLVD",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373981424",
"telephone_number": "931-962-1266",
"fax_number": "931-962-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWS",
"first_name": "SUSAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "1699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "3029208",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410034849",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2240316",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3940457",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TENNCARE",
"identifier": "100026828",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.