Tara Pigeon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD1922 Issued in TN

Practice address

2554 Highway 394
Blountville, TN 37617

Phone

(423) 323-3799

Fax

(423) 323-3752

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare assignment

May accept Medicare assignment

Group practices

Mark a BowersGroup PAC ID 0840479457, 3 clinicians

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.

• Mark a. Bowers

  • Optometrist
  • Blountville, TN
  • NPI 1497279442
  Medicare reassignment Care Compare group NPD
• Dr. Mark Lynn & Associates, PLLC

  • Optometrist
  • Franklin, TN
  • NPI 1194739490
  Medicare reassignment NPD
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • St Matthews, KY
  • NPI 1801610985

  Optometrist

  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1750452215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 HIGHWAY 394",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "37617",
            "telephone_number": "423-323-3799",
            "fax_number": "423-323-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 HIGHWAY 394",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "37617",
            "telephone_number": "423-323-3799",
            "fax_number": "423-323-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGEON",
        "first_name": "TARA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3941997",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009234101",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009234110",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Owens
• Makayla Payne
• William Dustin Peters
• Phillips ABA Therapy, LLC
• Rebecca Ann Phillips
• Courtney Marie Price, RN
• Regen, Smith and Smith, LLC
• Mary Ellen Hall Ress, R.N.
• Gabriella Alexis Rivera
• Kristina Ann Roark, NP-C

• Optometrist in Blountville, TN
• Providers in Blountville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.