Northwest Tennessee Eye Clinic, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

TN1767 Issued in TN

Legal business name

NORTHWEST TENNESSEE EYE CLINIC, PC

Practice address

111 Highway 431
Martin, TN 38237-8264

Phone

(731) 587-2022

Fax

(731) 587-9397

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Brown

Title

Administrator

Phone

(731) 587-2022

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Frances Dickson Bynum, O.D.

  • Optometrist
  • Martin, TN
  • NPI 1982691812
  Medicare reassignment NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1871610139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 431",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382378264",
            "telephone_number": "731-587-2022",
            "fax_number": "731-587-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 431",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382378264",
            "telephone_number": "731-587-2022",
            "fax_number": "731-587-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TENNESSEE EYE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-587-2022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "TN1767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3590029",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410033713",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda A Nethery, PHYSICAL THERAPIST
• New Perspectives, LLC.
• Melanie Baker Nichols, PHARM. D.
• Madison Switcher Northcutt, FNP-C
• Northwest Tennessee Development District
• Northwest Tennessee Eye Clinic, PC
• Northwest Tennessee Human Resource Agency
• Northwest Tennessee Human Resource Agency
• Nwthra
• Alayna Shae Owens, PHARM D

• Clinic/Center in Martin, TN
• Providers in Martin, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.