Active NPI
James Alan Yates, O.D.
- Optometrist
- Trenton, TN
National Provider Identifier
1497849681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD1590
- Practice address
- 107 E 1St St
Trenton, TN 38382-1841 - Phone
- (731) 855-0811
- Fax
- (731) 855-4725
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD1590 | TN | Primary |
Addresses
Primary practice location
107 E 1St St
Trenton, TN 38382-1841
Mailing address
PO Box 88
Trenton, TN 38382-0088
Phone (731) 855-0811
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003002260 | Medicaid | TN | |
| 6157 | Other | TN | TLC PIN |
| 003002260 | Other | TN | BCBS PIN |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100901000348 | TN | Practitioner - Optometry | 3678602844 | Practice locations: Trenton, TN |
| O20230511002465 | TN | DME Supplier - Physician - Optometrist | 5193068369 | Practice locations: Trenton, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 E 1St St
Trenton, TN 38382-1841
Phone (731) 855-0811
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD1590 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1497849681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "TRENTON",
"state": "TN",
"postal_code": "383820088",
"telephone_number": "731-855-0811",
"fax_number": "731-855-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E 1ST ST",
"city": "TRENTON",
"state": "TN",
"postal_code": "383821841",
"telephone_number": "731-855-0811",
"fax_number": "731-855-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "JAMES",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD1590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003002260",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC PIN",
"identifier": "6157",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "003002260",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trenton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.
- 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.