Individual provider Active NPI

Rebecca Jo Dinkins, O.D.

  • Optometrist
  • Lexington, TN
National Provider Identifier
1659566784
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1944 Issued in TN
Practice address
547 W Church St
Lexington, TN 38351-1703
Phone
(731) 608-5469
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R-200 AL
Optometrist 152W00000X 1944 TN Primary

Addresses

Primary practice location

547 W Church St
Lexington, TN 38351-1703

Mailing address

5180 Cash School Rd
Enville, TN 38332-1938
Phone (731) 608-5469

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
I20150209001126 TN Practitioner - Optometry 3274605605 Practice locations: Lexington, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1944TNMDMarriage & Family Therapist
R-200ALMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1659566784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 CASH SCHOOL RD",
            "city": "ENVILLE",
            "state": "TN",
            "postal_code": "383321938",
            "telephone_number": "731-608-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511703",
            "telephone_number": "731-608-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKINS",
        "first_name": "REBECCA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-200",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.