Individual provider Active NPI

Brad Stephen Lindsey, O.D.

  • Optometrist
  • Morristown, TN
National Provider Identifier
1588647309
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1422 Issued in TN
Practice address
1550 E Morris Blvd
Morristown, TN 37813-2153
Phone
(423) 585-5857
Fax
(423) 585-5904
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 1422 TN Primary

Addresses

Primary practice location

1550 E Morris Blvd
Morristown, TN 37813-2153

Mailing address

PO Box 688
1550 East Morris Blvd
Morristown, TN 37815-0688
Phone (423) 585-5857

Other identifiers 1

IdentifierTypeStateIssuer
3598540MedicaidTN

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
I20081125000030 TN Practitioner - Optometry 0143380956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1550 E Morris Blvd
Morristown, TN 37813-2153
Phone (423) 585-5857

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1422TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Smoky Mountain Eye Care P.C. CurrentSince Nov 27, 2007 Accepting new patients

Locations

1550 E Morris Blvd
Morristown, TN 37813
Phone (423) 581-8554

Interoperability endpoints

  • Direct secure messaging: blindseyod@smoky-mountain-eye-care.direct.kno2fy.com

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1588647309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "address_2": "1550 EAST MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378150688",
            "telephone_number": "423-585-5857",
            "fax_number": "423-585-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132153",
            "telephone_number": "423-585-5857",
            "fax_number": "423-585-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "BRAD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3598540",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.