Individual provider Active NPI

Larry E. Patterson, M.D.

  • Ophthalmology Physician
  • Crossville, TN
National Provider Identifier
1851394241
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16334 Issued in TN
Practice address
15 Iris LN
Crossville, TN 38555-7528
Phone
(931) 456-2728
Fax
(931) 456-5446
NPI assigned
May 31, 2005
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 16334 TN Primary

Addresses

Primary practice location

15 Iris LN
Crossville, TN 38555-7528

Mailing address

510 Holiday Dr
Crossville, TN 38555-5821
Phone (931) 484-2408

Other identifiers 2

IdentifierTypeStateIssuer
3724242MedicaidTN
P00132676OtherTNRAILROAD MEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000752 TN Practitioner - Ophthalmology 1052402096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Tennessee, LLCGroup PAC ID 1355379256, 18 clinicians

Practice addresses (Care Compare)

15 Iris LN
Crossville, TN 38555-7528
Phone (931) 456-2728

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery521
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16334TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Tennessee, LLC CurrentSince Apr 27, 1993 Accepting new patients
Cataract and Laser Center, LLC CurrentSince Jun 14, 2000 Accepting new patients
Eye Centers of Tennessee, LLC Ophthalmology CurrentSince Apr 1, 2000 Accepting new patients
Eye Centers of Tennessee, LLC Ophthalmology Current Accepting new patients
Eye Centers of Tennessee, LLC Ophthalmology Past Accepting new patients
Southeastern Retina Associates, P.C. Ophthalmology Past Accepting new patients
Eye Centers of Tennessee, LLC Past Accepting new patients
Eye Centers of Tennessee, LLC Ophthalmology Past Accepting new patients
Eye Centers of Tennessee, LLC Ophthalmology Past Accepting new patients
Tennessee Primary Care, LLC PastSince Jun 15, 2025 Accepting new patients
Eye Centers of Tennessee, LLC Ophthalmology Past Accepting new patients
Eye Centers of Tennessee, LLC Ophthalmology Past Accepting new patients

Locations

340 S Lowe Ave
Ste B
Cookeville, TN 38501
Phone (931) 528-1567

768 S Willow Ave
Cookeville, TN 38501
Phone (931) 456-2728

768 S Willow Ave
Ste A
Cookeville, TN 38501
Phone (931) 528-1567

15 Iris Ln
Crossville, TN 38555
Phone (931) 456-2728

1205 Old Highway 127 S
Jamestown, TN 38556
Phone (931) 879-5897

111 E Court Sq
Livingston, TN 38570
Phone (931) 528-1567

220 N Chancery St
McMinnville, TN 37110
Phone (931) 473-2487

Interoperability endpoints

  • Direct secure messaging: lpatterson@ecotn.intellechartdirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1851394241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HOLIDAY DR",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555821",
            "telephone_number": "931-484-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 IRIS LN",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557528",
            "telephone_number": "931-456-2728",
            "fax_number": "931-456-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "LARRY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "16334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3724242",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00132676",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.