Active NPI
Robert Stover, OD
- Optometrist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3800
- Practice address
- 568 Molly LN
Chattanooga, TN 37402-2254 - Phone
- (704) 718-1099
- NPI assigned
- Sep 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2311 | SC | |
| Optometrist | 152W00000X | OPT003129 | GA | |
| Optometrist | 152W00000X | 3800 | TN | Primary |
Addresses
Primary practice location
568 Molly LN
Chattanooga, TN 37402-2254
Mailing address
568 Molly LN
Chattanooga, TN 37402-2254
Phone (704) 718-1099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Technology Pkwy S
Norcross, GA 30092-2987
Phone (248) 528-2116
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.06 of 100
- Quality
- 79.74
- Promoting interoperability
- 84
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.8 of 100
- Quality
- 0
- Promoting interoperability
- 86
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3800 | TN | MD | Professional Counselor |
| 2311 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360Care Services of Georgia LLC | Optometrist | Current | Accepting new patients |
| Mobile Vision of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Jessup Mobile Opt TN LLC | Optometrist | Current | Accepting new patients |
| Mobile Medical Eye Care LLC | Optometrist | Current | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661
12910 Shelbyville Rd
Ste 128
Louisville, KY 40243
1703 Laurel St
Columbia, SC 29201
Phone 24852821166
717 Trolley Rd
Summerville, SC 29485
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.
-
- Optometrist
- Norcross, GA
- NPI 1871353599
-
- Optometrist
- Nashville, TN
- NPI 1740763325
-
- Optometrist
- Stockbridge, GA
- NPI 1629680830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1447735147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 MOLLY LN",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022254",
"telephone_number": "704-718-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 MOLLY LN",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022254",
"telephone_number": "704-718-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "ROBERT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-27",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2311",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003129",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.