Individual provider Active NPI

Lorena R Cron, OD

  • Optometrist
  • Eagleville, TN
National Provider Identifier
1346216173
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT1307 Issued in TN
Practice address
355 So Main St
Eagleville, TN 37060-0189
Phone
(615) 274-2102
Fax
(615) 274-2106
NPI assigned
Feb 23, 2006
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT1307 TN Primary

Addresses

Primary practice location

355 So Main St
Eagleville, TN 37060-0189

Mailing address

PO Box 189
Eagleville, TN 37060-0189
Phone (615) 274-2102

Other identifiers 1

IdentifierTypeStateIssuer
4041298OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101116000170 TN Practitioner - Optometry 7618084112 Receives reassigned benefits from 1 practitioner
Practice locations: Eagleville, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

355 Smain St
Eagleville, TN 37060
Phone (615) 274-2102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODT1307TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Past Accepting new patients
Family Health Associates Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1346216173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "EAGLEVILLE",
            "state": "TN",
            "postal_code": "370600189",
            "telephone_number": "615-274-2102",
            "fax_number": "615-274-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 SO MAIN ST",
            "city": "EAGLEVILLE",
            "state": "TN",
            "postal_code": "370600189",
            "telephone_number": "615-274-2102",
            "fax_number": "615-274-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRON",
        "first_name": "LORENA",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4041298",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, TN

Sources for this page

Verify at the official NPI Registry.