Organization Active NPI

All Eyes Vision Care, Inc.

Doing business as All Eyes Vision Care

  • Optometrist
  • Clarksville, TN
National Provider Identifier
1366715906
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2386 Issued in TN
Legal business name
ALL EYES VISION CARE, INC.
Doing business as
All Eyes Vision Care
Practice address
3315 Guthrie Hwy
Clarksville, TN 37040-5507
Phone
(931) 647-3208
NPI assigned
Feb 13, 2012
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dr. Lisa Dye, O.D.
Title
Optometrist
Phone
(931) 647-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2386 TN Primary

Addresses

Primary practice location

3315 Guthrie Hwy
Clarksville, TN 37040-5507

Mailing address

3315 Guthrie Hwy
Clarksville, TN 37040-5507
Phone (931) 647-3208

Other names 1

  • All Eyes Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000357 TN Part B Supplier - Clinic/Group Practice 0648430207 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1366715906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 GUTHRIE HWY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405507",
            "telephone_number": "931-647-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 GUTHRIE HWY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405507",
            "telephone_number": "931-647-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL EYES VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "931-647-3208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Eyes Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.