Individual provider Active NPI

Mary Nethaway Chase

  • Optometrist
  • Cleveland, TN
National Provider Identifier
1487140232
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3448 Issued in TN
Practice address
3103 Ocoee St N
Cleveland, TN 37312-5381
Phone
(423) 479-4174
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3448 TN Primary

Addresses

Primary practice location

3103 Ocoee St N
Cleveland, TN 37312-5381

Mailing address

3103 Ocoee St N
Cleveland, TN 37312-5381
Phone (423) 479-4174

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
I20181206001290 TN Practitioner - Optometry 5890039556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Mary N. Chase, O.D., PLLCGroup PAC ID 4688077373, 2 clinicians
Lori H Balmer OdpcGroup PAC ID 7810970746, 2 clinicians

Practice addresses (Care Compare)

1042 E Tri County Blvd
Oliver Springs, TN 37840-6205
Phone (865) 435-1513

3103 Ocoee St N
Cleveland, TN 37312-5381
Phone (423) 479-4174

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary N. Chase, O.D., PLLC Optometrist CurrentSince Mar 12, 2021 Accepting new patients
Premier Eyecare, PLLC Optometrist CurrentSince Oct 4, 2018 Accepting new patients

Locations

11111 Kingston Pike
Knoxville, TN 37934
Phone (865) 966-0100

4300 Chapman Hwy
Knoxville, TN 37920
Phone (865) 571-2020

1042 E Tri County Blvd
Oliver Springs, TN 37840
Phone (865) 435-1513

929 E Tri County Blvd
Oliver Springs, TN 37840
Phone (865) 435-1513

Interoperability endpoints

  • Direct secure messaging: mary.chase@uprisedirect.com

Organizations & group practices 3

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1487140232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125381",
            "telephone_number": "423-479-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125381",
            "telephone_number": "423-479-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "MARY",
        "middle_name": "NETHAWAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.