Callie Mashburn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3600 Issued in TN

Practice address

689A New Highway 68
Sweetwater, TN 37874-1911

Phone

(423) 337-9222

NPI assigned

Jun 5, 2020

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foster Family Eyecare, PLLCGroup PAC ID 1355391731, 3 clinicians

Sweetwater Family Eyecare PLLCGroup PAC ID 1850814070, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sweetwater Family Eyecare PLLC

  dba Foster Family Eyecare

  • Optometrist
  • Sweetwater, TN
  • NPI 1457161598
  Medicare reassignment Care Compare group NPD Authorized official
• Foster Family Eyecare, PLLC

  • Optometrist
  • Sweetwater, TN
  • NPI 1356457220
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1396369336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 GLENLOCK RD",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378745633",
            "telephone_number": "423-519-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689A NEW HIGHWAY 68",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741911",
            "telephone_number": "423-337-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Roanoke Blvd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241536478",
            "country_code": "US",
            "telephone_number": "540-982-2463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "CALLIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Knecht
• Cheryl Ann Kothe
• Kenya Kozawa, M.D.
• Mateasha Leona Lane, PHARMD
• Christine Anne Marquette, LPN
• Shannon Dale Massingale, PHARM.D.
• Walter Scott Matlock, PTA
• Abby Laurence Matte
• Blyth Mayfield
• Lisa R McHan, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.