Jeffrey Lee Summers, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1428 Issued in TN

Practice address

8045 Club Pkwy
Cordova, TN 38016-5977

Phone

(901) 758-1384

Fax

(901) 758-1394

NPI assigned

Jan 17, 2006

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

Other identifiers 3

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

Southern College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• 2001 Vision Center

  • Optometrist
  • Memphis, TN
  • NPI 1790837797
  NPD (past)
• 2001 Vision Center PC

  • Optometrist
  • Memphis, TN
  • NPI 1134282163
  NPD (past)
• Vision Care

  • Optometrist
  • Fountain Valley, CA
  • NPI 1184920183
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1316927494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165977",
            "telephone_number": "901-758-1384",
            "fax_number": "901-758-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165977",
            "telephone_number": "901-758-1384",
            "fax_number": "901-758-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2240133",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3940127",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3107411",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald K Strickland Jr., MD
• Teresa Flowers Strickland, FNP-C
• Strong One Transportation Services LLC
• Ashley J Strother
• Leslie Alison Stucker, NP
• Mary Grace Summers, O.D.
• Melvin Summerville Sr.
• Zhiqiang Sun, MD
• Superiorcare Medical Group LLC
• Lindsey Swafford, M.S., BCBA, LBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.