Individual provider Active NPI

John HK Lorey, O.D.

  • Optometrist
  • Clarksville, TN
National Provider Identifier
1255317541
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3265 Issued in TN
Practice address
2315 Madison St
Clarksville, TN 37043-5454
Phone
(931) 647-9411
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4572 / T1315 OH
Optometrist 152W00000X 5679T TX
Optometrist 152W00000X 1441DT KY
Optometrist 152W00000X 3265 TN Primary

Addresses

Primary practice location

2315 Madison St
Clarksville, TN 37043-5454

Mailing address

1025 Cedarmont Dr
Adams, TN 37010-8025
Phone (915) 494-1945

Other identifiers 1

IdentifierTypeStateIssuer
3265OtherTNSTATE OPTOMETRY LICENSE

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
I20160129001632 TN Practitioner - Optometry 2668775461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Doctors - OptometristsGroup PAC ID 1951604750, 2 clinicians

Practice addresses (Care Compare)

2315 Madison St
Clarksville, TN 37043-5454
Phone (931) 647-9411

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1441DTKYMDOptometrist
4572 / T1315OHMDOptometrist
5679TTXMDOptometrist
3265TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Doctors - Optometrists Optometrist CurrentSince Jan 1, 2016 Accepting new patients

Locations

2315 Madison St
Clarksville, TN 37043
Phone (931) 552-3535

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1255317541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CEDARMONT DR",
            "city": "ADAMS",
            "state": "TN",
            "postal_code": "370108025",
            "telephone_number": "915-494-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435454",
            "telephone_number": "931-647-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREY",
        "first_name": "JOHN",
        "middle_name": "HK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4572 / T1315",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5679T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1441DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPTOMETRY LICENSE",
            "identifier": "3265",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.