Stephanie Phillips Layman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT831 Issued in TN

Practice address

2043 Greystone SQ
Jackson, TN 38305-3576

Phone

(731) 668-3424

Fax

(731) 668-3425

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carol P. Lagrange, O.D., P.C.

  • Optometrist
  • Jackson, TN
  • NPI 1972520807
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339804800000",
    "number": "1477515856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053576",
            "telephone_number": "731-668-3424",
            "fax_number": "731-668-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053576",
            "telephone_number": "731-668-3424",
            "fax_number": "731-668-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMAN",
        "first_name": "STEPHANIE",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "28639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410041641",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3596184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Diane Laster, N.P.
• Cayley A Lawley, PA
• Amy K Lawrence, FNP
• Bethany J Lawrence, MD
• Peter G Lawrence, M.D.
• Leann Care LLC
• Learning Achievement Center
• Kevin Lucas Ledford, MS, NCC, LADAC II
• Maricharles Ledsinger, M.S.
• Erica D Lee

• Optometrist in Jackson, TN
• Providers in Jackson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.