Patricia Hatley Koester, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1757 Issued in TN

Practice address

499 E. Winchester Blvd
Suite 101
Collierville, TN 38017-4054

Phone

(901) 850-2366

Fax

(901) 850-2367

NPI assigned

Aug 25, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Eye Care Group, PLLCGroup PAC ID 2567573694, 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 and National Provider Directory roles.

• Advanced Eye Care Group, PLLC

  • Optometrist
  • Collierville, TN
  • NPI 1386701845
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1215920152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E. WINCHESTER BLVD",
            "address_2": "SUITE 101",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380174054",
            "telephone_number": "901-850-2366",
            "fax_number": "901-850-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E. WINCHESTER BLVD",
            "address_2": "SUITE 101",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380174054",
            "telephone_number": "901-850-2366",
            "fax_number": "901-850-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "PATRICIA",
        "middle_name": "HATLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Kirkland, DNS FNP, BC
• KMD Consulting PLLC
• Martin Alexander Knight Jr.
• Johnny Chu Ko, D.D.S.
• Robert Walter Koch, MD
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Gracyn Lee Lacy
• Nicole Bowden Lacy, NP-C
• Mary Kathryn Landers, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.