Eye Care Group, PLLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE CARE GROUP, PLLC

Practice address

2439 N Central Ave
Humboldt, TN 38343-1753

Phone

(731) 784-1186

Fax

(731) 784-8228

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lindy H Lewis, O D

Title

Chief Manager

Phone

(731) 784-1186

Specialties & licenses 2

Addresses

Other identifiers 6

Locations

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Eye Care Group, PLLC

  • Eyewear Supplier
  • Jackson, TN
  • NPI 1548299456
  NPPES parent name
• Eye Care Group, PLLC

  • Eyewear Supplier
  • Humboldt, TN
  • NPI 1730106220
  NPPES parent name
• Eye Care Group, PLLC

  • Eyewear Supplier
  • Dyersburg, TN
  • NPI 1831128768
  NPPES parent name
• Eye Care Group, PLLC

  • Eyewear Supplier
  • Ripley, TN
  • NPI 1982633897
  NPPES parent name

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

• Dax M Eckard, OD

  • Optometrist
  • Tupelo, MS
  • NPI 1932102779
  NPD (past)
• Matthew Edward Hoffman, O.D.

  • Optometrist
  • Jonesboro, AR
  • NPI 1255335675
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1881620169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383430509",
            "telephone_number": "731-784-1186",
            "fax_number": "731-784-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 N CENTRAL AVE",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383431753",
            "telephone_number": "731-784-1186",
            "fax_number": "731-784-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LINDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "731-784-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "5466560002",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "5466560001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4105755",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "5466560004",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729980",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "5466560003",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Dunker, PHARMD
• Warner Benjamin Dunlap, MD
• Dynamic Family Care Center
• Executive Level Wellness
• Eye Care Group, PLLC
• Alesha Adams Ezelle, APRN
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Alayna Felker, PTA
• Cristen Nicole Ferguson

• All providers in Humboldt, TN
• Eyewear Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.