Individual provider Active NPI

Lauren Goldsmith Windham, O.D.

  • Optometrist
  • McKinney, TX
National Provider Identifier
1285946459
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8590TG Issued in TX
Practice address
1129 Wedge Hill Rd
McKinney, TX 75070-5233
Phone
(540) 761-1003
NPI assigned
Jul 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8590TG TX Primary
Optometrist 152W00000X 2331 NC
Optometrist 152W00000X 0618002274 VA

Addresses

Primary practice location

1129 Wedge Hill Rd
McKinney, TX 75070-5233

Mailing address

1546 Stacy Rd Ste 100
Allen, TX 75002-8721
Phone (214) 383-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110302000497 TN Practitioner - Optometry 6002097672 Reassigns benefits to 2 organizations
I20180129000916 VA Practitioner - Optometry 6002097672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Vision Center, PLCGroup PAC ID 1456336551, 4 clinicians
Southeast Eye Specialists PLLCGroup PAC ID 6800708504, 37 clinicians

Practice addresses (Care Compare)

2158 Northgate Park Lane
Suite 302
Chattanooga, TN 37415-6959
Phone (423) 870-4900

7268 Jarnigan Rd
Suite 200
Chattanooga, TN 37421-3097
Phone 4235087337205

Merit-based Incentive Payment System (MIPS)

Final score
93.56 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.53

Merit-based Incentive Payment System (MIPS)

Final score
76.4 of 100Reported as group
Quality
76.44
Promoting interoperability
67
Improvement activities
40
Cost
72.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2331NCMDMarriage & Family Therapist
0618002274VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Specialists PLLC Optometrist Current Accepting new patients
Chattanooga Vision Center, PLC Optometrist CurrentSince Apr 11, 2023 Accepting new patients
Southeast Eye Specialists PLLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Eye Care & Surgery PC CurrentSince Jan 1, 2018 Accepting new patients
Walter L. Choate, O.D. Optometrist PastSince Aug 7, 2011 Accepting new patients

Locations

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

1609 Decatur Pike
Athens, TN 37303
Phone (423) 472-5401

135 N Meadows Dr
#A
Athens, TN 37303
Phone (423) 453-5314

135 N Meadows Dr
Ste D
Athens, TN 37303
Phone 4235087337205

7305 Jarnigan Rd
Ste 220
Chattanooga, TN 37421

2158 Northgate Park Ln
Ste 414
Chattanooga, TN 37415

7268 Jarnigan Rd
Ste 200
Chattanooga, TN 37421
Phone 4235087337289

2158 Northgate Park Ln
Ste 302
Chattanooga, TN 37415
Phone (423) 870-4900

4160 Ocoee St N
Ste 7
Cleveland, TN 37312
Phone 42350837737

195 White Oak Rd
Ste 300
Dayton, TN 37321
Phone (423) 332-8222

9453 Dayton Pike
Soddy Daisy, TN 37379
Phone (423) 332-8222

1960 Electric Rd
Roanoke, VA 24018
Phone (540) 772-0870

Interoperability endpoints

  • Direct secure messaging: lwindham@southeasteye.intellechartdirect.net

Organizations & group practices 5

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": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1285946459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 STACY RD STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028721",
            "telephone_number": "214-383-5400",
            "fax_number": "214-383-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 WEDGE HILL RD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705233",
            "telephone_number": "540-761-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "LAUREN",
        "middle_name": "GOLDSMITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8590TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2331",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.