Active NPI
David Michael Orwig, O D
- Optometrist
- Humboldt, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD1496
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32098 | Other | TN | TLC MEMPHIS MANAGED CARE |
| 9491076 | Other | CIGNA HEALTHCARE | |
| 10023282 | Other | VESTICA HEALTH PLAN | |
| 3946215 | Medicaid | TN | |
| 4105805 | Other | TN | BLUE 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD1496 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Tennessee, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Tennessee, LLC | Optometrist | Current | 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.
-
- Optometrist
- Chattanooga, TN
- NPI 1619481587
-
- Optometrist
- Mt Juliet, TN
- NPI 1588516918
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.