Individual provider Active NPI

Lori Elizabeth Kendrick, O.D.

  • Optometrist
  • Bartlett, TN
National Provider Identifier
1538185145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TNOD1637 Issued in TN
Practice address
2817 Bartlett Blvd
Bartlett, TN 38134-4529
Phone
(901) 371-0770
Fax
(901) 371-0770
NPI assigned
Jul 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TNOD1637 TN Primary

Addresses

Primary practice location

2817 Bartlett Blvd
Bartlett, TN 38134-4529

Mailing address

2817 Bartlett Blvd
Bartlett, TN 38134-4529
Phone (901) 371-0770

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
I20190626000026 TN Practitioner - Optometry 3678807609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

629 Market St
Suite 115
Chattanooga, TN 37402-4891
Phone (423) 265-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1637TNMDMarriage & Family Therapist
TNOD1637TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince May 20, 2019 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince May 20, 2019 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Eye Spectrum Past Accepting new patients

Locations

2817 Bartlett Blvd
Bartlett, TN 38134
Phone (901) 371-0770

629 Market St
Ste 115
Chattanooga, TN 37402
Phone (423) 265-4306

1605 N Germantown Pkwy
Ste 101
Cordova, TN 38016
Phone (901) 379-2021

3295 Poplar Ave
Ste 107
Memphis, TN 38111
Phone (901) 324-2122

6150 Poplar Ave
Ste 115
Memphis, TN 38119
Phone (901) 682-3937

7825 Winchester Rd
Ste 117
Memphis, TN 38125
Phone (901) 365-9732

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538185145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 BARTLETT BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344529",
            "telephone_number": "901-371-0770",
            "fax_number": "901-371-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 BARTLETT BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344529",
            "telephone_number": "901-371-0770",
            "fax_number": "901-371-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "LORI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TNOD1637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.