Organization Active NPI

Loden Vision Center of Paris, PLC

  • Specialist
  • Paris, TN
National Provider Identifier
1457546665
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000027224 Issued in TN
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

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
James Loden, M.D.NPI 1659330272
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1501428MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1098262Loden Vision Center of Paris, PLC1024 Kelley Drive, Paris, TN 38242Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.