Sandy L Mysliwiec, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1926 Issued in TN

Practice address

2523 Jacksboro Pike
Jacksboro, TN 37757-4847

Phone

(423) 566-2020

Fax

(423) 566-4245

NPI assigned

Jun 9, 2009

Last updated

Mar 31, 2022By the provider in NPPES

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

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

• Associates in Eye Care, Inc.

  • Optometrist
  • Jellico, TN
  • NPI 1427149160
  Medicare reassignment NPD
• Associates in Eye Care, Inc.

  • Optometrist
  • Jacksboro, TN
  • NPI 1336230077
  NPD
• Associates in Eye Care, Inc.

  • Optometrist
  • Russell Springs, KY
  • NPI 1437691276
  NPD

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1285860841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "FERGUSON",
            "state": "KY",
            "postal_code": "425330296",
            "telephone_number": "606-492-2211",
            "fax_number": "606-676-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 JACKSBORO PIKE",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574847",
            "telephone_number": "423-566-2020",
            "fax_number": "423-566-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSLIWIEC",
        "first_name": "SANDY",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPULINK",
            "affiliation": "N",
            "endpointDescription": "SECURE SOFTWARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ELECTRONIC HEALTH RECORDS",
            "address_1": "2523 Jacksboro Pike",
            "city": "Jacksboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377574847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Kate Moore, APRN, FNP-BC
• Jennifer Maria Muggridge, APRN
• Laura Kaleigh Mundy, FNP-BC
• Myeyedr Optometry of Tennessee, LLC (MyEyeDr.)
• Kevin A Mysliwiec, O.D.
• Gurpreet K Narula, M.D.
• Harjeet Narula, M.D.
• Tona A Neal, OD
• Neighborhood Medical LLC (Neighborhood Primary Care)
• Kathy Lynne Nelson, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.