Active NPI
Corey Glenn Persons, O.D.
- Optometrist
- Jackson, TN
National Provider Identifier
1356498828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1779
- Practice address
- 1340 Union University Dr
Jackson, TN 38305-3780 - Phone
- (731) 424-2414
- NPI assigned
- Jan 5, 2007
- Last updated
- Oct 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10156 | CA | |
| Optometrist | 152W00000X | 1779 | TN | Primary |
Addresses
Primary practice location
1340 Union University Dr
Jackson, TN 38305-3780
Mailing address
1340 Union University Dr
Jackson, TN 38305-3780
Phone (731) 424-2414
Other practice location 1
1239 Vann Dr
Jackson, TN 38305-6024
Phone (731) 256-7911
Other practice location 2
668 Skyline Dr
Jackson, TN 38301-3951
Phone (731) 424-2414
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
668 Skyline Dr
Jackson, TN 38301-3951
Phone (731) 426-8434
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.16 of 100
- Quality
- 97.83
- Improvement activities
- 40
- Cost
- 76.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10156 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Eye Clinic, PC | Current | Accepting new patients | |
| Advanced Cardiovascular & Vein Center | Current | Accepting new patients | |
| VRF Eye Specialty Group, PLC | Optometrist | Past | Accepting new patients |
| Christopher Andrew Clarke | Optometrist | Past | Accepting new patients |
| Dr. Angela Milam & Associates, PLLC | Optometrist | Past | Accepting new patients |
Locations
138 S Washington Ave
Henderson, TN 38340
Phone (731) 989-3511
668 Skyline Dr
Jackson, TN 38301
Phone (731) 424-1414
1340 Union University Dr
Jackson, TN 38305
Phone (731) 215-1281
Interoperability endpoints
- cpersons@ecpc.intellechartdirect.net
- https://api.platform.athenahealth.com/14790/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Optometrist
- Memphis, TN
- NPI 1285188490
-
- Optometrist
- Savannah, TN
- NPI 1730134941
-
- Optometrist
- Covington, TN
- NPI 1740365212
-
- Optometrist
- Memphis, TN
- NPI 1386696201
Organizations & group practices 5
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.
-
- Specialist
- Jackson, TN
- NPI 1164759189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1356498828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 UNION UNIVERSITY DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053780",
"telephone_number": "731-424-2414",
"fax_number": "731-424-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 UNION UNIVERSITY DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053780",
"telephone_number": "731-424-2414"
}
],
"practiceLocations": [
{
"address_1": "1239 Vann Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383056024",
"country_code": "US",
"telephone_number": "731-256-7911",
"fax_number": "731-664-5243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "668 Skyline Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383013951",
"country_code": "US",
"telephone_number": "731-424-2414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERSONS",
"first_name": "COREY",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10156",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "1779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.