Individual provider Active NPI

David Michael Orwig, O D

  • Optometrist
  • Humboldt, TN
National Provider Identifier
1609820190
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD1496 Issued in TN
Practice address
2439 N Central Ave
Humboldt, TN 38343-1753
Phone
(731) 784-1186
Fax
(731) 784-0601
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD1496 TN Primary

Addresses

Primary practice location

2439 N Central Ave
Humboldt, TN 38343-1753

Mailing address

PO Box 509
Humboldt, TN 38343-0509
Phone (731) 635-0991

Other practice location 1

790 Highway 51 N Ste 24
Ripley, TN 38063-6193
Phone (731) 635-0991

Other identifiers 5

IdentifierTypeStateIssuer
32098OtherTNTLC MEMPHIS MANAGED CARE
9491076OtherCIGNA HEALTHCARE
10023282OtherVESTICA HEALTH PLAN
3946215MedicaidTN
4105805OtherTNBLUE CROSS BLUE SHIELD

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
I20040729000610 TN Practitioner - Optometry 3870563539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Tennessee LLCGroup PAC ID 1759646995, 45 clinicians

Practice addresses (Care Compare)

2439 N Central Ave
Humboldt, TN 38343-1753
Phone (731) 784-1186

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD1496TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Feb 13, 2019 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Feb 13, 2019 Accepting new patients

Locations

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

400 US Highway 51 Byp W
Dyersburg, TN 38024
Phone (731) 286-2744

2439 N Central Ave
Humboldt, TN 38343
Phone (731) 784-1186

1000 Vann Dr
Ste A
Jackson, TN 38305
Phone (731) 668-3018

790 Highway 51 N
Ste 24
Ripley, TN 38063
Phone (731) 635-0991

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1609820190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383430509",
            "telephone_number": "731-635-0991",
            "fax_number": "731-635-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 N CENTRAL AVE",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383431753",
            "telephone_number": "731-784-1186",
            "fax_number": "731-784-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Highway 51 N Ste 24",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "TN",
            "postal_code": "380636193",
            "country_code": "US",
            "telephone_number": "731-635-0991",
            "fax_number": "731-635-7372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORWIG",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC MEMPHIS MANAGED CARE",
            "identifier": "32098",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "9491076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VESTICA HEALTH PLAN",
            "identifier": "10023282",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3946215",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4105805",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.