Organization Active NPI

Modern Eyecare Center, LLC

  • Optometrist
  • Spring Hill, TN
National Provider Identifier
1316199037
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1920 Issued in TN
Legal business name
MODERN EYECARE CENTER, LLC
Practice address
1027 Crossings Blvd
Spring Hill, TN 37174-2776
Phone
(931) 486-9992
Fax
(931) 486-9993
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
David E McAfeeNPI 1669462743
Title
Optometrist
Phone
(931) 486-9992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1920 TN Primary

Addresses

Primary practice location

1027 Crossings Blvd
Spring Hill, TN 37174-2776

Mailing address

1027 Crossings Blvd
Spring Hill, TN 37174-2776
Phone (931) 486-9992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081105000869 TN Part B Supplier - Clinic/Group Practice 4688733603 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Hill, TN
O20100930057441 TN DME Supplier - Physician - Optometrist 4688733603 Practice locations: Spring Hill, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Modern Eyecare Center1027 Crossings Blvd, Spring Hill, TN 37174-2776(931) 486-9992 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 2, 2008

National Provider Directory

National Provider Directory

Locations

1027 Crossings Blvd
Spring Hill, TN 37174
Phone (931) 486-9992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1316199037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 CROSSINGS BLVD",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742776",
            "telephone_number": "931-486-9992",
            "fax_number": "931-486-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 CROSSINGS BLVD",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742776",
            "telephone_number": "931-486-9992",
            "fax_number": "931-486-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYECARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "MCAFEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "931-486-9992"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.