NPIMap

Organization Active NPI

Lincoln County Vision Center

  • Optometrist
  • Fayetteville, TN
National Provider Identifier
1649443250
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1967 Issued in TN
Legal business name
LINCOLN COUNTY VISION CENTER
Practice address
2250 Thornton Taylor Pkwy
Suite a
Fayetteville, TN 37334-3651
Phone
(931) 433-1370
Fax
(931) 433-1062
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. William Coy Womble, O.D.NPI 1992888440
Title
Owner
Phone
(931) 433-1370

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 1967 TN Primary

Addresses

Primary practice location

2250 Thornton Taylor Pkwy
Suite a
Fayetteville, TN 37334-3651

Mailing address

2250 Thornton Taylor Pkwy
Suite a
Fayetteville, TN 37334-3651
Phone (931) 433-1370

National Provider Directory

National Provider Directory
Tax ID family
Lincoln County Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1649443250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 THORNTON TAYLOR PKWY",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343651",
            "telephone_number": "931-433-1370",
            "fax_number": "931-433-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 THORNTON TAYLOR PKWY",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343651",
            "telephone_number": "931-433-1370",
            "fax_number": "931-433-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "WOMBLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "COY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-433-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.