Individual provider Active NPI

Sherry Renee Tilley, O.D.

  • Optometrist
  • Morristown, TN
National Provider Identifier
1689894602
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT1367 Issued in TN
Practice address
3001 W Andrew Johnson Hwy
Morristown, TN 37814-3614
Phone
(423) 581-0360
Fax
(423) 585-4244
NPI assigned
May 1, 2007
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT1367 TN Primary

Addresses

Primary practice location

3001 W Andrew Johnson Hwy
Morristown, TN 37814-3614

Mailing address

4528 Chapman Hwy
Knoxville, TN 37920-4359
Phone (865) 579-3920

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
I20130327000145 TN Practitioner - Optometry 7113162983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Eye Surgeons, PLLCGroup PAC ID 4284610486, 13 clinicians

Practice addresses (Care Compare)

140 Capital Dr
Suite 110
Knoxville, TN 37922-3572
Phone (865) 579-3920

3001 W Andrew Johnson Hwy
Morristown, TN 37814-3614
Phone (423) 581-0360

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
94.17
Promoting interoperability
100
Improvement activities
40
Cost
58.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODT1367TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Eye Surgeons, PLLC CurrentSince May 16, 2016 Accepting new patients
Barnes Vision PLLC Optometrist CurrentSince Apr 1, 2013 Accepting new patients

Locations

334 Highway 92 S
Ste 7
Dandridge, TN 37725
Phone (865) 397-9991

140 Capital Dr
Knoxville, TN 37922
Phone (865) 251-0338

140 Capital Dr
Ste 110
Knoxville, TN 37922
Phone (423) 581-0360

4528 Chapman Hwy
Knoxville, TN 37920
Phone (865) 579-3920

3001 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 581-0360

Interoperability endpoints

  • Direct secure messaging: stilley@baptisteye.direct.eyemdemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1689894602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204359",
            "telephone_number": "865-579-3920",
            "fax_number": "865-579-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143614",
            "telephone_number": "423-581-0360",
            "fax_number": "423-585-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "SHERRY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.