David L Foutch, OD PC
Individual provider Active NPI Optometrist · Smithville, TN
NPI 1447294129 · NPPES record last updated May 20, 2013
Key facts
- NPI
- 1447294129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- ODT1164 (TN)
- Practice address
- 2585 Nashville Hwy
Smithville, TN 37166-7259 - Phone
- (615) 597-2255
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2585 Nashville Hwy
Smithville, TN 37166-7259
Phone (615) 597-2255
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 47 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090512000670 | TN | Practitioner - Optometry | 2567511009 |
Receives reassigned benefits from 1 practitioner Practice locations: Smithville, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODT1164 | TN | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODT1164 | TN | Yes |
Addresses
Primary practice location
2585 Nashville Hwy
Smithville, TN 37166-7259
Mailing address
2585 Nashville Highway
Smithville, TN 37166
Phone (615) 597-2255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0831410001 | Medicaid | TN |
Other providers in Smithville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.