Dyersburg Family Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

1175 Issued in TN

Legal business name

DYERSBURG FAMILY EYE CARE

Practice address

401 E Tickle St
Dyersburg, TN 38024-3163

Phone

(731) 285-5411

Fax

(731) 285-8481

NPI assigned

Nov 30, 2006

Organization subpart

Yes

Parent organization

DYERSBURG FAMILY EYE CAREAs reported in NPPES

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

Authorized official

Name

Dr. Thomas Earl Manning, O.D.NPI 1578510400

Title

Owner Partner

Phone

(731) 285-5411

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Part of

Dyersburg Family Eye Care

Locations

Practitioners 3

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

• Jake Lewis, OD

  • Optometrist
  • Dyersburg, TN
  • NPI 1629635354
  Medicare reassignment Care Compare group NPD
• Thomas Earl Manning, O.D.

  • Vision Therapy Optometrist
  • Dyersburg, TN
  • NPI 1578510400

  TN, Vision Therapy

  Medicare reassignment NPD Authorized official
• Justin Michael Schroeder, O.D.

  • Vision Therapy Optometrist
  • Caruthersville, MO
  • NPI 1215984224

  TN, Vision Therapy

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1841367950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243163",
            "telephone_number": "731-285-5411",
            "fax_number": "731-285-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243163",
            "telephone_number": "731-285-5411",
            "fax_number": "731-285-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYERSBURG FAMILY EYE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYERSBURG FAMILY EYE CARE",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "731-285-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3722767",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dyer Co. Government
• Dyer County Government
• Dyersburg City Schools
• Dyersburg Clinic Corp
• Dyersburg Dental Associates
• Dyersburg Family Walk-in Clinic LLC
• Dyersburg HBP Medical Group LLC
• Dyersburg Health
• Dyersburg Health
• Dyersburg Health

• All providers in Dyersburg, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.