Active NPI
Loden Vision Center of Paris, PLC
- Specialist
- Paris, TN
National Provider Identifier
1457546665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD0000027224
- Legal business name
- LODEN VISION CENTER OF PARIS, PLC
- Practice address
- 1024 Kelley Drive
Paris, TN 38242-4500 - Phone
- (731) 642-5003
- Fax
- (731) 642-8756
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Loden, M.D.
- Title
- President
- Phone
- (615) 859-3937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000027224 | TN | Primary |
Addresses
Primary practice location
1024 Kelley Drive
Paris, TN 38242-4500
Mailing address
1024 Kelley Drive
Paris, TN 38242-4500
Phone (731) 642-5003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1501428 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071102000536 | TN | Part B Supplier - Clinic/Group Practice | 0941397244 |
Receives reassigned benefits from 13 practitioners Practice locations: Paris, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1098262 | Loden Vision Center of Paris, PLC | Certificate of waiver | Apr 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645056000000",
"number": "1457546665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 KELLEY DRIVE",
"city": "PARIS",
"state": "TN",
"postal_code": "382424500",
"telephone_number": "731-642-5003",
"fax_number": "731-642-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 KELLEY DRIVE",
"city": "PARIS",
"state": "TN",
"postal_code": "382424500",
"telephone_number": "731-642-5003",
"fax_number": "731-642-8756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LODEN VISION CENTER OF PARIS, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "LODEN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-859-3937",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "MD0000027224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1501428",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.