Individual provider Active NPI

Whitley Lauren Shoemaker, OD

  • Optometrist
  • Harriman, TN
National Provider Identifier
1376112490
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3688 Issued in TN
Practice address
1855 Tanner Way Ste 120
Harriman, TN 37748-8331
Phone
(865) 882-1535
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3688 TN Primary

Addresses

Primary practice location

1855 Tanner Way Ste 120
Harriman, TN 37748-8331

Mailing address

1920 Greenland Way Apt 101
Knoxville, TN 37932-1838
Phone (865) 224-0389

Other names 1

  • Whitley Lauren Pollard Former name

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
I20210721002506 TN Practitioner - Optometry 2466855978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Oak Ridge,PCGroup PAC ID 8527040690, 14 clinicians

Practice addresses (Care Compare)

1855 Tanner Way
Suite 120
Harriman, TN 37748-8331
Phone (865) 882-1535

Merit-based Incentive Payment System (MIPS)

Final score
75.96 of 100Reported as group
Quality
62.76
Improvement activities
40
Cost
69.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3688TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Oak Ridge,PC Optometrist CurrentSince Jun 28, 2021 Accepting new patients

Locations

1855 Tanner Way
Ste 120
Harriman, TN 37748
Phone (865) 882-1535

90 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-8880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1376112490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 GREENLAND WAY APT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321838",
            "telephone_number": "865-224-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY STE 120",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488331",
            "telephone_number": "865-882-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "WHITLEY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITLEY",
            "last_name": "POLLARD",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harriman, TN

Sources for this page

Verify at the official NPI Registry.