Elizabeth Gault Ligon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3199 Issued in TN

Practice address

725 W Market St
Bolivar, TN 38008

Phone

(731) 658-5197

Fax

(731) 658-5197

NPI assigned

Sep 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hardeman County Vision Center Inc

  • Optometrist
  • Bolivar, TN
  • NPI 1962094193
  Medicare reassignment NPD Authorized official
• George W Walters, Jr, O.D.

  • Optometrist
  • Bolivar, TN
  • NPI 1134142094

  TN

  Medicare reassignment
• George W Walters Jr

  • Optometrist
  • Bolivar, TN
  • NPI 1144697624
  NPD (past)

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1700288024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W MARKET ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082242",
            "telephone_number": "731-658-5197",
            "fax_number": "731-658-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W MARKET ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "38008",
            "telephone_number": "731-658-5197",
            "fax_number": "731-658-5197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Mina Ave Apt 509",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381036411",
            "country_code": "US",
            "telephone_number": "803-984-5278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGON",
        "first_name": "ELIZABETH",
        "middle_name": "GAULT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7699658",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "A22476",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q01027",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "48082-001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "6051220",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bolivar",
            "affiliation": "N",
            "address_1": "725 W Market St",
            "city": "Bolivar",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380082242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Misty M Kirk, PT
• Meghan Curtise Lambert-Agnew, RN
• Jacob Isaac Latham, BS
• Sharon Laubenstein, ARNP
• Kasey Lax, ARNP
• Hilary F Linder, M.D.
• Deanna Lunsford, CCC-SLP
• Ashley Majors, BS
• Renee C Maness
• Charles Manley, PHARMACIST

• All providers in Bolivar, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.

Verify at the official NPI Registry.