Individual provider Active NPI

Lindy Hatfield Lewis, O D

  • Optometrist
  • Jackson, TN
National Provider Identifier
1386681351
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD1607 Issued in TN
Practice address
1000A Vann Dr
Jackson, TN 38305-6001
Phone
(731) 668-3018
Fax
(731) 668-9158
NPI assigned
May 31, 2006
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD1607 TN Primary

Addresses

Primary practice location

1000A Vann Dr
Jackson, TN 38305-6001

Mailing address

PO Box 509
Humboldt, TN 38343-0509
Phone (731) 668-3018

Other identifiers 4

IdentifierTypeStateIssuer
4105789OtherTNBLUE CROSS BLUE SHIELD
9810OtherTNTLC MEMPHIS MANAGED CARE
3943221MedicaidTN
9861183OtherCIGNA HEALTHCARE

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
I20040717000358 TN Practitioner - Optometry 9436138906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Vann Dr
Suite a
Jackson, TN 38305-6062
Phone (731) 668-3018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD1607TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Feb 17, 2019 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Feb 17, 2019 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients

Locations

629 Market St
Ste 115
Chattanooga, TN 37402
Phone (423) 265-4306

400 US Highway 51 Byp W
Dyersburg, TN 38024
Phone (731) 286-2744

2439 N Central Ave
Humboldt, TN 38343
Phone (731) 784-1186

1000 Vann Dr
Ste A
Jackson, TN 38305
Phone (731) 668-3018

790 Highway 51 N
Ste 24
Ripley, TN 38063
Phone (731) 635-0991

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1386681351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383430509",
            "telephone_number": "731-668-3018",
            "fax_number": "731-668-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000A VANN DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056001",
            "telephone_number": "731-668-3018",
            "fax_number": "731-668-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LINDY",
        "middle_name": "HATFIELD",
        "name_prefix": "Dr.",
        "credential": "O D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4105789",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC MEMPHIS MANAGED CARE",
            "identifier": "9810",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3943221",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "9861183",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.