Christopher Carman Mallard, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2955 Issued in TN

Practice address

4959 Main St
Spring Hill, TN 37174-2727

Phone

(615) 302-4477

Fax

(615) 302-4485

NPI assigned

Aug 18, 2010

Last updated

Dec 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mallard Eye Care, LLCGroup PAC ID 1759716806, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kurt A. Jeter, O.D.

  • Optometrist
  • Columbia, TN
  • NPI 1346462017
  Medicare reassignment
• Belinda Patrick, O.D.

  • Optometrist
  • Dickson, TN
  • NPI 1255473070

  GA

  Medicare reassignment

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.

• Mallard Eye Care, LLC

  • Optometrist
  • Spring Hill, TN
  • NPI 1255760286
  Medicare reassignment Care Compare group NPD Authorized official
• Mallard Eye Care, LLC

  • Optometrist
  • Fayetteville, TN
  • NPI 1053962134
  Authorized official Same address or phone
• Mallard Eye Care, LLC

  dba Mallard Eye Care Columbia

  • Optometrist
  • Columbia, TN
  • NPI 1487010674
  NPD (past) Authorized official
• Mallard Eye Care, LLC

  • Optometrist
  • Lewisburg, TN
  • NPI 1912516956
  Authorized official Same address or phone
• Steven D. Elliott, O.D. & Associates, Inc.

  dba Volunteer Eye Care, Clinton

  • Optometrist
  • Clinton, TN
  • NPI 1609231752
  NPD (past)
• Steven Elliott OD and Associates Inc

  dba Volunteer Eyecare

  • Optometrist
  • Knoxville, TN
  • NPI 1871762856
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1255646907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742727",
            "telephone_number": "615-302-4477",
            "fax_number": "615-302-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742727",
            "telephone_number": "615-302-4477",
            "fax_number": "615-302-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "CARMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loveleekee Group
• Luxottica Retail North America Inc (Target Optical #C4443)
• Phillip Chase Magee, PMHNP-BC
• Making Waves Mental Wellness, LLC
• Mallard Eye Care, LLC
• Walker Mallory
• Katheryn Elizabeth Mandlehr, OTR/L
• William Banks Mangold
• Cassetty Elizabeth Mannino
• Alexandra Markesi, DPT

• Optometrist in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.