Cookeville Eye Specialists, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COOKEVILLE EYE SPECIALISTS, PLLC

Practice address

57 Fairfield Blvd
Crossville, TN 38558-4417

Phone

(931) 484-3344

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Misty Dawn Lynch

Title

Billing

Phone

(931) 528-1304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cookeville Eye Specialists, PLLC

  • Optometrist
  • Cookeville, TN
  • NPI 1033254289

  5294757985

  Same PAC ID

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Cookeville Eye Specialist3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cookeville Eye Specialists, PLLC

  • Optometrist
  • Cookeville, TN
  • NPI 1033254289
  NPD tax ID
• Cookeville Eye Specialists, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Sparta, TN
  • NPI 1437090529
  NPD tax ID

Locations

Practitioners 7

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

• Cory J. Bosanko, O.D.

  • Low Vision Rehabilitation Optometrist
  • Crossville, TN
  • NPI 1730180704
  NPD
• Brittany B Denaro, DO

  • Ophthalmology Physician
  • Cookeville, TN
  • NPI 1356702773
  NPD
• Michael Stewart Galloway, M.D.

  • Ophthalmology Physician
  • Crossville, TN
  • NPI 1063491421
  NPD
• Faramarz Fred Hidaji, MD

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1518956119
  NPD
• Michael Paul Jones, M.D.

  • Ophthalmology Physician
  • Cookeville, TN
  • NPI 1164589164
  NPD
• Caitlin Millsaps, OD

  • Optometrist
  • Sparta, TN
  • NPI 1518731918
  NPD
• Jennifer L Peek, OD

  • Optometrist
  • Sparta, TN
  • NPI 1568660181
  NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1316540487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PERIMETER PARK DR STE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010912",
            "telephone_number": "931-528-1304",
            "fax_number": "931-372-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 FAIRFIELD BLVD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385584417",
            "telephone_number": "931-484-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKEVILLE EYE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "931-528-1304"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassion Care
• Bethany Conatser
• Chad Alan Conatser, M.D.
• Elizabeth June Conley, DMD
• Timothy Conner
• Cookeville Eye Specialists, PLLC
• Lisa Marie Coontz
• Carissa Beth Cooper, FNP
• Laura Marie Core, PNP
• Kevin Melanio Corvacho, DDS

• Durable Medical Equipment & Medical Supplies in Crossville, TN
• Providers in Crossville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.