Lawrenceburg Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LAWRENCEBURG EYE CARE, PLLC

Practice address

307 Geri St
Lawrenceburg, TN 38464-2361

Phone

(931) 762-1100

NPI assigned

Aug 29, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jason Fort, O.D.NPI 1013575273

Title

President

Phone

(931) 762-1100

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Fort, OD

  • Optometrist
  • Lawrenceburg, TN
  • NPI 1013575273
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1770131047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GERI ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642361",
            "telephone_number": "931-762-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GERI ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642361",
            "telephone_number": "931-762-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEBURG EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-762-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "931-762-2626",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "307 Geri St",
            "city": "Lawrenceburg",
            "state": "TN",
            "country_code": "US",
            "postal_code": "384642361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lawrence County Health Department
• Lawrence County Public Transportation
• Lawrence County School System
• Lawrence County Senior Citizens Club Inc
• Lawrenceburg Dental PLLC
• Lawrenceburg Family Practice Associates, PC
• Lawrenceburg Neurology Associates PC
• Lawrenceburg Neurology, PC
• Lawrenceburg NH Operations, LLC
• Lawrenceburg Orthopaedics and Sports Medicine Institute PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.