Individual provider Active NPI

Joseph Wilmer Lutche, O.D.

  • Optometrist
  • Antioch, TN
National Provider Identifier
1447348677
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1830 Issued in TN
Practice address
6444 Nolensville Pike
Suite 5
Antioch, TN 37013-4608
Phone
(615) 941-7218
Fax
(615) 941-7219
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 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 1830 TN Primary

Addresses

Primary practice location

6444 Nolensville Pike
Suite 5
Antioch, TN 37013-4608

Mailing address

6444 Nolensville Pike
Suite 5
Antioch, TN 37013-4608
Phone (615) 941-7218

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
I20071107000537 TN Practitioner - Optometry 4688761620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Tennessee LLCGroup PAC ID 1759646995, 45 clinicians

Practice addresses (Care Compare)

1618 Lee Victory Pkwy
Smyrna, TN 37167-6529
Phone (615) 462-6835

629 Market St
Suite 115
Chattanooga, TN 37402-4891
Phone (423) 265-4306

7171 Nolensville Rd
Suite 104
Nolensville, TN 37135-6101
Phone (615) 815-1632

840 Hatcher LN
Columbia, TN 38401-3528
Phone (931) 381-4911

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1830TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Antioch Eye Care Center, Physician & Surgeon, PLLC Optometrist CurrentSince May 25, 2022 Accepting new patients
Myeyedr Optometry of Tennesse, LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients

Locations

554 Bell Rd
Antioch, TN 37013
Phone (615) 361-7266

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

840 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-4911

3046 Columbia Ave
Ste 209
Franklin, TN 37064
Phone (615) 599-0037

7091 Old Harding Pike
Ste 105
Nashville, TN 37221
Phone (615) 662-2800

7171 Nolensville Rd
Ste 104
Nolensville, TN 37135

1618 Lee Victory Pkwy
Smyrna, TN 37167
Phone (615) 462-6835

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1447348677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 NOLENSVILLE PIKE",
            "address_2": "SUITE 5",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134608",
            "telephone_number": "615-941-7218",
            "fax_number": "615-941-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 NOLENSVILLE PIKE",
            "address_2": "SUITE 5",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134608",
            "telephone_number": "615-941-7218",
            "fax_number": "615-941-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTCHE",
        "first_name": "JOSEPH",
        "middle_name": "WILMER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.