Individual provider Active NPI

Michael Lee Patterson, O.D.

  • Optometrist
  • Lexington, TN
National Provider Identifier
1235278540
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000001423 Issued in TN
Practice address
107 Lexington PLZ
Lexington, TN 38351-1505
Phone
(731) 968-2020
Fax
(731) 968-2866
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0000001423 TN Primary

Addresses

Primary practice location

107 Lexington PLZ
Lexington, TN 38351-1505

Mailing address

PO Box 419
Lexington, TN 38351-0419
Phone (731) 968-2020

Other identifiers 4

IdentifierTypeStateIssuer
0164251OtherTNBLUE CROSS BLUE SHIELD
2240165OtherTNUNITED HEALTHCARE
6141OtherTNTLC MANAGED CARE SERVICES
3598568MedicaidTN

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
I20110215000966 TN Practitioner - Optometry 3274640776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Totalvision, PCGroup PAC ID 9436278819, 3 clinicians

Practice addresses (Care Compare)

107 Lexington Plaza
Lexington, TN 38351-1505

107 Lexington PLZ
Lexington, TN 38351-1505
Phone (731) 968-2020

816 C Tennessee Ave S
Parsons, TN 38363-4623
Phone (731) 847-2020

Merit-based Incentive Payment System (MIPS)

Final score
62.5 of 100Reported as group
Quality
25
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD0000001423TNMDOptometrist
1423TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Totalvision, PC Optometrist CurrentSince Jan 1, 1996 Accepting new patients

Locations

107 Lexington Plz
Lexington, TN 38351
Phone (731) 968-2020

816 Tennessee Ave S
#C
Parsons, TN 38363
Phone (731) 847-2020

816 Tennessee Ave S
Ste C
Parsons, TN 38363

Organizations & group practices 1

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1235278540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383510419",
            "telephone_number": "731-968-2020",
            "fax_number": "731-968-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 LEXINGTON PLZ",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511505",
            "telephone_number": "731-968-2020",
            "fax_number": "731-968-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000001423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0164251",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2240165",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC MANAGED CARE SERVICES",
            "identifier": "6141",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3598568",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.