Individual provider Active NPI

Donald P Wright, O.D.

  • Optometrist
  • Martin, TN
National Provider Identifier
1760416036
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-509 T Issued in TN
Practice address
145 Kennedy Dr
Martin, TN 38237-3340
Phone
(731) 587-2020
Fax
(731) 587-4015
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-509 T TN Primary

Addresses

Primary practice location

145 Kennedy Dr
Martin, TN 38237-3340

Mailing address

145 Kennedy Dr Ste a
Martin, TN 38237-3341
Phone (731) 587-2020

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
I20110322000403 TN Practitioner - Optometry 9335256015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Kennedy Dr
Suite a
Martin, TN 38237-3340

145 Kennedy Dr
Suite a
Martin, TN 38237-3341
Phone (731) 587-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD-509 TTNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald P Wright & a Peter Bukeavich PTRS Optometrist CurrentSince Feb 1, 1997 Accepting new patients

Locations

145 Kennedy Dr
Martin, TN 38237
Phone (731) 587-2020

145 Kennedy Dr
Ste A
Martin, TN 38237
Phone (731) 587-2020

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1760416036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KENNEDY DR STE A",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373341",
            "telephone_number": "731-587-2020",
            "fax_number": "731-587-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373340",
            "telephone_number": "731-587-2020",
            "fax_number": "731-587-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DONALD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD-509 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.