Individual provider Active NPI

Nathan Lipe, O.D.

  • Optometrist
  • Eureka Springs, AR
National Provider Identifier
1609397397
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2761 Issued in AR
Practice address
4052 E Van Buren Ste B
Eureka Springs, AR 72632-9328
Phone
(479) 253-7136
Fax
(479) 253-9479
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2761 AR Primary

Addresses

Primary practice location

4052 E Van Buren Ste B
Eureka Springs, AR 72632-9328

Mailing address

4052 E Van Buren Ste B
Eureka Springs, AR 72632-9328
Phone (479) 253-7136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210224002322 AR Practitioner - Optometry 6901177591 Reassigns benefits to 2 organizations
I20230515000860 TN Practitioner - Optometry 6901177591 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3718TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Jun 15, 2023 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Jun 15, 2023 Accepting new patients
Elite Eyecare Optometrist CurrentSince May 31, 2023 Accepting new patients

Locations

5300 Centennial Blvd
Ste 107
Nashville, TN 37209
Phone (615) 657-5010

2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151

Organizations & group practices 5

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609397397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 E VAN BUREN STE B",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329328",
            "telephone_number": "479-253-7136",
            "fax_number": "479-253-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 E VAN BUREN STE B",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329328",
            "telephone_number": "479-253-7136",
            "fax_number": "479-253-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPE",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

Verify at the official NPI Registry.