Individual provider Active NPI

Steven B Routledge, O.D.

  • Optometrist
  • Clarksville, TN
National Provider Identifier
1477537124
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
894 Issued in TN
Practice address
1492 Madison St
Clarksville, TN 37040-3860
Phone
(931) 648-0544
Fax
(931) 648-3625
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 894 TN Primary

Addresses

Primary practice location

1492 Madison St
Clarksville, TN 37040-3860

Mailing address

1492 Madison St
Clarksville, TN 37040-3860
Phone (931) 648-0544

Other identifiers 1

IdentifierTypeStateIssuer
3599631MedicaidTN

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
I20101101000981 TN Practitioner - Optometry 5698882298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care of Clarksville PLLCGroup PAC ID 9739209008, 2 clinicians

Practice addresses (Care Compare)

1492 Madison St
Clarksville, TN 37040-8625
Phone (931) 648-0544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care of Clarksville PLLC Optometrist CurrentSince Jun 26, 2010 Accepting new patients

Locations

1492 Madison St
Clarksville, TN 37040
Phone (631) 648-0544

Interoperability endpoints

  • Direct secure messaging: eyerout25@familyeyecareclarksville.eyefinity-direct.com

Organizations & group practices 1

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1477537124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403860",
            "telephone_number": "931-648-0544",
            "fax_number": "931-648-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403860",
            "telephone_number": "931-648-0544",
            "fax_number": "931-648-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTLEDGE",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3599631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.