Kurt A. Jeter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

724T Issued in TN

Practice address

1301 Trotwood Ave
Columbia, TN 38401-4702

Phone

(931) 380-3036

NPI assigned

May 3, 2007

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

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, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mallard Eye Care, LLCGroup PAC ID 1759716806, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mallard Eye Care, LLC

  • Optometrist
  • Spring Hill, TN
  • NPI 1255760286
  Medicare reassignment Care Compare group NPD
• Wci School Health Services, PLLC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1417261215
  Medicare reassignment NPD
• Christopher Carman Mallard, O.D.

  • Optometrist
  • Spring Hill, TN
  • NPI 1255646907
  Medicare reassignment

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346462017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 LEWISBURG PIKE",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370646727",
            "telephone_number": "615-790-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014702",
            "telephone_number": "931-380-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "KURT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "724T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanna Marie Jenks, FNP-BC
• Jennifer Lee Jensen, O.D.
• John Spencer Jensen, M.D.
• Nicholas Joseph Jensen, MD
• Natalie Leigh Jernigan, NP
• Joseph Melvin Jett III, PHARMD
• Joe R Fite MD PLLC
• Romany Anne Nilanthi Johnpulle, M.D.
• Ashley Elizabeth Johnson, MA
• Joan Johnson, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.