Individual provider Active NPI

Alisa Jean Lindley, O.D.

  • Optometrist
  • Jackson, TN
National Provider Identifier
1790705242
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2662 Issued in TN
Practice address
2043 Greystone SQ
Jackson, TN 38305-3576
Phone
(731) 668-3424
Fax
(731) 668-3425
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2662 TN Primary

Addresses

Primary practice location

2043 Greystone SQ
Jackson, TN 38305-3576

Mailing address

2043 Greystone SQ
Jackson, TN 38305-3576
Phone (731) 668-3424

Other identifiers 1

IdentifierTypeStateIssuer
4137673OtherTNBLUE CROSS

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
I20061206000380 TN Practitioner - Optometry 8527067214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2043 Greystone SQ
Jackson, TN 38305-3576

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carol P. Lagrange, O.D., P.C. Optometrist CurrentSince Jul 31, 2006 Accepting new patients
Tennessee Vision Partners PLLC Optometrist CurrentSince Jan 1, 2018 Accepting new patients

Locations

3230 Blattner Dr
Cape Girardeau, MO 63703
Phone (573) 334-2020

2043 Greystone Sq
Jackson, TN 38305
Phone (731) 668-3424

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1790705242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053576",
            "telephone_number": "731-668-3424",
            "fax_number": "731-668-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053576",
            "telephone_number": "731-668-3424",
            "fax_number": "731-668-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDLEY",
        "first_name": "ALISA",
        "middle_name": "JEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4137673",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.