Active NPI
Tennessee Vision Partners PLLC
Doing business as Lifetime EyeCare
- Optometrist
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- TENNESSEE VISION PARTNERS PLLC
- Doing business as
- Lifetime EyeCare
- Practice address
- 2043 Greystone SQ
Jackson, TN 38305-3576 - Phone
- (731) 668-3424
- NPI assigned
- Oct 12, 2017
- Last updated
- Oct 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Thoma
- Title
- Financial Director
- Phone
- (573) 334-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
2043 Greystone SQ
Jackson, TN 38305-3576
Mailing address
3230 Blattner Dr
Cape Girardeau, MO 63703-6380
Other names 1
- Lifetime EyeCare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tennessee Vision Partners PLLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3230 Blattner Dr
Cape Girardeau, MO 63703
Phone (573) 334-2020
2043 Greystone Sq
Jackson, TN 38305
Phone (731) 668-3424
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Jackson, TN
- NPI 1790705242
-
- Optometrist
- Lexington, TN
- NPI 1265656524
-
- Optometrist
- Murfreesboro, TN
- NPI 1568193977
-
- Optometrist
- Cape Girardeau, MO
- NPI 1063300770
-
- Optometrist
- Cape Girardeau, MO
- NPI 1619027703
-
- Optometrist
- Cape Girardeau, MO
- NPI 1831263375
-
- Optometrist
- Cape Girardeau, MO
- NPI 1770363855
-
- Optometrist
- Cape Girardeau, MO
- NPI 1922677418
-
- Optometrist
- Cape Girardeau, MO
- NPI 1023182540
-
- Optometrist
- Cape Girardeau, MO
- NPI 1396810735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507766400000",
"number": "1902317381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 BLATTNER DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2043 GREYSTONE SQ",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053576",
"telephone_number": "731-668-3424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE VISION PARTNERS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-12",
"last_updated": "2017-10-12",
"status": "A",
"authorized_official_last_name": "THOMA",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "FINANCIAL DIRECTOR",
"authorized_official_telephone_number": "573-334-2020",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifetime EyeCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, TN
- Tennessee CVS Pharmacy LLC (CVS Pharmacy #16345)
- Tennessee Em-I Medical Services, PC
- Tennessee Nemt Inc
- Tennessee Personal Assistance, Inc
- Tennessee Sleep Managment LLC (Dyersburg Sleep Clinic)
- Andala Mae Tennyson, RN
- Derek Thacker, M.D.
- Krittika Thakuria, DO
- Leah Tharpe, RN0000144089
- The Cardiovascular Clinic of West Tennessee,P.C. (West Tennessee Cardiovascular Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.