Individual provider Active NPI

Lindsay Elisha Denton, O.D.

  • Optometrist
  • Goodfellow AFB, TX
National Provider Identifier
1720278773
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7097T Issued in TX
Practice address
271 Fort Richardson Ave
Optometry Clinic
Goodfellow AFB, TX 76908-4901
Phone
(325) 654-3120
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7097T TX Primary

Addresses

Primary practice location

271 Fort Richardson Ave
Optometry Clinic
Goodfellow AFB, TX 76908-4901

Mailing address

1344 W. Arrowhead Rd.
Duluth, MN 55811
Phone (218) 728-6211

Other names 1

  • Lindsay Elisha Peck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160121001039 TX Practitioner - Optometry 5799906301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beth Digby Anderson, O.D., PLLCGroup PAC ID 1759422629, 6 clinicians
Eye Center of Murphy PLLCGroup PAC ID 1355684754, 6 clinicians

Practice addresses (Care Compare)

130 N Ballard Ave
Wylie, TX 75098-4467
Phone (972) 429-9090

213 N Murphy Rd
Suite 100
Murphy, TX 75094-3551
Phone (972) 429-9011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
7097TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Digby Anderson, O.D., PLLC Optometrist CurrentSince Dec 5, 2015 Accepting new patients

Locations

1980 E State Highway 114
Southlake, TX 76092
Phone (817) 329-2700

130 N Ballard Ave
Wylie, TX 75098
Phone (972) 429-9090

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1720278773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 W. ARROWHEAD RD.",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-728-6211",
            "fax_number": "218-724-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FORT RICHARDSON AVE",
            "address_2": "OPTOMETRY CLINIC",
            "city": "GOODFELLOW AFB",
            "state": "TX",
            "postal_code": "769084901",
            "telephone_number": "325-654-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "LINDSAY",
        "middle_name": "ELISHA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7097T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "PECK",
            "middle_name": "ELISHA",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodfellow AFB, TX

Sources for this page

Verify at the official NPI Registry.