Individual provider Active NPI

Steven A Jaworski, OD

  • Optometrist
  • Hixson, TN
National Provider Identifier
1578565008
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD817 Issued in TN
Practice address
4511 Hixson Pike
Hixson, TN 37343-5035
Phone
(423) 870-3742
Fax
(423) 877-9494
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD817 TN Primary

Addresses

Primary practice location

4511 Hixson Pike
Hixson, TN 37343-5035

Mailing address

4511 Hixson Pike
Hixson, TN 37343-5035
Phone (423) 870-3742

Other identifiers 3

IdentifierTypeStateIssuer
2240043OtherUNITED HEALTHCARE
3595966MedicaidTN
0090286OtherBLUE CROSS

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
I20050916000221 TN Practitioner - Optometry 8224061585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 3072632397, 2 clinicians

Practice addresses (Care Compare)

4511 Hixson Pike
Hixson, TN 37343-5035

725 Glenwood Dr
Suite E892
Chattanooga, TN 37404-1146
Phone (423) 624-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD817TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, P.C. Optometrist CurrentSince Mar 22, 1997 Accepting new patients

Locations

725 Glenwood Dr
Ste E892
Chattanooga, TN 37404
Phone (423) 624-3937

725 Glenwood Dr
Ste 829E
Chattanooga, TN 37404
Phone (423) 624-3937

4511 Hixson Pike
Hixson, TN 37343
Phone (423) 624-3937

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1578565008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435035",
            "telephone_number": "423-870-3742",
            "fax_number": "423-877-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435035",
            "telephone_number": "423-870-3742",
            "fax_number": "423-877-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2240043",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3595966",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0090286",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.