Individual provider Active NPI

Lane Eren Herndon, OD

  • Optometrist
  • Murfreesboro, TN
National Provider Identifier
1497430854
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3808 Issued in TN
Practice address
252 Veterans Pkwy
Murfreesboro, TN 37128-6419
Phone
(615) 907-2030
Fax
(615) 907-2356
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3808 TN Primary

Addresses

Primary practice location

252 Veterans Pkwy
Murfreesboro, TN 37128-6419

Mailing address

252 Veterans Pkwy
Murfreesboro, TN 37128-6419
Phone (615) 907-2030

Other practice location 1

836 N Thompson Ln Ste 1J
Murfreesboro, TN 37129-4343
Phone (615) 217-2500

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
I20231026001416 TN Practitioner - Optometry 0345696480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drake Eyecare and Eyewear PLLCGroup PAC ID 8820253487, 5 clinicians

Practice addresses (Care Compare)

252 Veterans Pkwy
Murfreesboro, TN 37128-6419
Phone (615) 907-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3808TNMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drake Eye Care and Eyewear PLLC CurrentSince Aug 30, 2023 Accepting new patients
Drake Eye Care and Eyewear Optometrist PastSince Jun 25, 2023 Accepting new patients

Locations

220 Veterans Pkwy
Ste E
Murfreesboro, TN 37128
Phone (615) 907-2030

252 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 907-2030

Organizations & group practices 2

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1497430854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 VETERANS PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286419",
            "telephone_number": "615-907-2030",
            "fax_number": "615-907-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 VETERANS PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286419",
            "telephone_number": "615-907-2030",
            "fax_number": "615-907-2356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 N Thompson Ln Ste 1J",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371294343",
            "country_code": "US",
            "telephone_number": "615-217-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "LANE",
        "middle_name": "EREN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.