Mariam Girges

Primary specialty

OptometristTaxonomy code 152W00000X

License

3603 Issued in TN

Practice address

126 E Bockman Way
Sparta, TN 38583-2036

Phone

(931) 836-2235

NPI assigned

Aug 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undefined Non-Physician Type (Specify)

Education

University Alabama Birmingham - School of Optometry, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Antioch Eye Care Center, Physician and Surgeon, PLLCGroup PAC ID 4688996531, 8 clinicians

Practice addresses (Care Compare)

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.

• Antioch Eye Care Center, Physician & Surgeon, PLLC

  • Ophthalmology Physician
  • Antioch, TN
  • NPI 1629477831

  Optometrist

  Medicare reassignment Care Compare group NPD
• Mullins Vision South, PLLC

  • Optometrist
  • Sparta, TN
  • NPI 1972141877
  Medicare reassignment NPD

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1376156554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E BOCKMAN WAY",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385832036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E BOCKMAN WAY",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385832036",
            "telephone_number": "931-836-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGES",
        "first_name": "MARIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mullinsvision.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "126 E Bockman Way",
            "city": "Sparta",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385832036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mullinsvision.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "126 E Bockman Way",
            "city": "Sparta",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385832036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel James Fiste, P.T.A.
• Shawn Elliott Foster, PT
• Anna Fox, COTA
• Susan A Freitag, LPC-MHSP
• Gamble & Acuff Enterprises LLC
• Trent Lawrence Goodwin, PHARMD.
• Chad A Griffin, M.D.
• Mara Lee Hall, LPTA
• Frances Louise Marasigan Hamilton, DDS
• Sharon Dolorann Lee Hampton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.