Individual provider Active NPI

William David Irvine, MD

  • Ophthalmology Physician
  • Jackson, TN
National Provider Identifier
1760488498
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000024247 Issued in TN
Practice address
1000 Vann Dr
Suite a
Jackson, TN 38305-6061
Phone
(731) 668-3161
Fax
(731) 668-3162
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD0000024247 TN Primary

Addresses

Primary practice location

1000 Vann Dr
Suite a
Jackson, TN 38305-6061

Mailing address

1000 Vann Dr
Suite a
Jackson, TN 38305-6061
Phone (731) 668-3161

Other identifiers 2

IdentifierTypeStateIssuer
4097024OtherMSBLUE CROSS BLUE SHIELD
3325382MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041117001153 TN Practitioner - Ophthalmology 1951381086 Reassigns benefits to 5 organizations
I20050228000418 MS Practitioner - Ophthalmology 1951381086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Eye Associates PCGroup PAC ID 4789780495, 8 clinicians
Rayner Eye Clinic, LLCGroup PAC ID 9537136577, 10 clinicians
Total Eye Care P aGroup PAC ID 2567358732, 6 clinicians
Memphis Eye and Cataract Associates PLCGroup PAC ID 5496727844, 5 clinicians

Practice addresses (Care Compare)

112 Stonebridge Blvd
Jackson, TN 38305-2038
Phone (731) 664-1994

2606 S Lamar Blvd
Oxford, MS 38655-5243
Phone (662) 234-6551

6060 E Primacy Pkwy
Suite 200
Memphis, TN 38119-5770
Phone (901) 761-4620

6060 Primacy Pkwy
Suite 200
Memphis, TN 38119-5770

6485 Poplar Ave
Memphis, TN 38119-4838
Phone 9017673993273

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Merit-based Incentive Payment System (MIPS)

Final score
88.59 of 100Reported as group
Quality
92.12
Improvement activities
40
Cost
72.47

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
Quality
88.41
Improvement activities
40
Cost
77.25

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
95.68
Promoting interoperability
100
Improvement activities
40
Cost
37.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000024247TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Eye Associates PC CurrentSince Oct 17, 2011 Accepting new patients
Rice Eye Associates PLLC Ophthalmology CurrentSince Feb 1, 2005 Accepting new patients
Rayner Eye Clinic, LLC CurrentSince Mar 1, 2008 Accepting new patients
Memphis Eye & Cataract Associates PLC CurrentSince Jan 1, 1999 Accepting new patients
Total Eye Care P a Ophthalmology CurrentSince May 1, 2015 Accepting new patients
Southern Eye Associates, PC Ophthalmology Past Accepting new patients
Total Eye Care PA Past Accepting new patients
Rayner Optical, LLC Past Accepting new patients
Jennett M Doherty Complete Optical Past Accepting new patients

Locations

2606 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-0173

112 Stonebridge Blvd
Jackson, TN 38305
Phone (800) 945-1994

6238 Poplar Ave
Memphis, TN 38119
Phone (901) 761-4292

825 Ridge Lake Blvd
Memphis, TN 38120
Phone (901) 685-6150

6485 Poplar Ave
Memphis, TN 38119
Phone (901) 767-3937

6060 E Primacy Pkwy
Ste 200
Memphis, TN 38119
Phone (901) 751-4620

930 Madison Ave
Ste 370
Memphis, TN 38103
Phone (901) 448-3900

Interoperability endpoints

  • Direct secure messaging: williamdirvinemd@hugheseye.direct.eyemdemr.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1760488498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VANN DR",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056061",
            "telephone_number": "731-668-3161",
            "fax_number": "731-668-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VANN DR",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056061",
            "telephone_number": "731-668-3161",
            "fax_number": "731-668-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000024247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4097024",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3325382",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.