Individual provider Active NPI

Lindsey Michelle Coley, OD

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1861155665
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3719 Issued in TN
Practice address
11289 Parkside Dr SPC 1108
Knoxville, TN 37934-1964
Phone
(865) 675-2524
Fax
(865) 675-2558
NPI assigned
Oct 19, 2021
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3719 TN Primary

Addresses

Primary practice location

11289 Parkside Dr SPC 1108
Knoxville, TN 37934-1964

Mailing address

11289 Parkside Dr SPC 1108
Knoxville, TN 37934-1964
Phone (865) 675-2524

Other practice location 1

7600 Kingston Pike Ste 1480
Knoxville, TN 37919-5632
Phone (865) 694-7527

Other practice location 2

5415 Washington Pike
Knoxville, TN 37918-7004
Phone (865) 544-1677

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindsey.coley@direct.revolutionehr.com Direct

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
I20211104002455 TN Practitioner - Optometry 0446649842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Torrey J. Carlson and AssociatesGroup PAC ID 2365401510, 21 clinicians

Practice addresses (Care Compare)

7600 Kingston Pike
Suite 1480
Knoxville, TN 37919-5632
Phone (865) 694-7527

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3719TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Oct 22, 2021 Accepting new patients
The Eye Care Clinic Optometrist PastSince Oct 22, 2021 Accepting new patients
Friendly Eyes of North Carolina Optometrist Past Accepting new patients

Locations

2100 Hamilton Place Blvd
Ste 280
Chattanooga, TN 37421
Phone (423) 899-8626

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

11289 Parkside Dr
Spc 1108
Knoxville, TN 37934
Phone (865) 217-1010

5415 Washington Pike
Knoxville, TN 37918
Phone (423) 217-1010

5449 Washington Pike
Knoxville, TN 37918

7600 Kingston Pike
Ste 1480
Knoxville, TN 37919
Phone (865) 217-1010

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1861155665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11289 PARKSIDE DR SPC 1108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341964",
            "telephone_number": "865-675-2524",
            "fax_number": "865-675-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11289 PARKSIDE DR SPC 1108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341964",
            "telephone_number": "865-675-2524",
            "fax_number": "865-675-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Kingston Pike Ste 1480",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195632",
            "country_code": "US",
            "telephone_number": "865-694-7527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5415 Washington Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379187004",
            "country_code": "US",
            "telephone_number": "865-544-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEY",
        "first_name": "LINDSEY",
        "middle_name": "MICHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsey.coley@direct.revolutionehr.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11289 Parkside Dr Spc 1108",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379341964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.