Organization Active NPI

Totalvision, PC

  • Optometrist
  • Lexington, TN
National Provider Identifier
1639214828
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TOTALVISION, PC
Practice address
107 Lexington PLZ
Lexington, TN 38351-1505
Phone
(731) 968-2020
Fax
(731) 968-2866
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. David Todd Goodman, O.D.NPI 1548309867
Title
President
Phone
(731) 968-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

107 Lexington PLZ
Lexington, TN 38351-1505

Mailing address

PO Box 419
Lexington, TN 38351-0419
Phone (731) 968-2020

Other names 1

  • TotalVision Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930002040 TN DME Supplier - Physician - Optometrist 9436278819 Practice locations: Lexington, TN
O20110126000776 TN Part B Supplier - Clinic/Group Practice 9436278819 Receives reassigned benefits from 3 practitioners
Practice locations: Lexington, TN; Parsons, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Totalvision, PC107 Lexington PLZ, Lexington, TN 38351-1505(731) 968-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

107 Lexington Plz
Lexington, TN 38351
Phone (731) 968-2020

816 Tennessee Ave S
#C
Parsons, TN 38363
Phone (731) 847-2020

816 Tennessee Ave S
Ste C
Parsons, TN 38363

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1639214828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383510419",
            "telephone_number": "731-968-2020",
            "fax_number": "731-968-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 LEXINGTON PLZ",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511505",
            "telephone_number": "731-968-2020",
            "fax_number": "731-968-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALVISION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-968-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TotalVision Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.