Active NPI
Joseph Summers, OD
- Optometrist
- Arrington, TN
National Provider Identifier
1902961402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD2150
- Practice address
- 1133 Meadow Bridge LN
Arrington, TN 37014-9109 - Phone
- (615) 319-5630
- Fax
- (615) 376-9318
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Optometrist
- Brentwood, TN
- NPI 1376914150
-
- Eyewear Supplier
- Murfreesboro, TN
- NPI 1841373537
-
- Eyewear Supplier
- Lexington, KY
- NPI 1255415410
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1133 Meadow Bridge LN
Arrington, TN 37014-9109
1585 Mallory LN
Suite 104
Brentwood, TN 37027-3036
Phone (615) 376-9317
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 46 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000976 | TN | Practitioner - Optometry | 5395701486 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD2150 | TN | MD | Optometrist |
| 2150 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joey Summers Optical | Optometrist | Current | Accepting new patients |
| Dr Mark Lynn & Associates PLLC | Past | Accepting new patients | |
| Ky Doctors of Optometry, PLLC | Past | Accepting new patients |
Locations
1585 Mallory Ln
Ste 104
Brentwood, TN 37027
Phone (615) 319-5630
1655 W College St
Pulaski, TN 38478
Phone (931) 309-3168
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD2150 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1133 Meadow Bridge LN
Arrington, TN 37014-9109
Mailing address
1133 Meadow Bridge LN Ste 6
Arrington, TN 37014-9109
Phone (615) 319-5630
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3943591 | Medicaid | TN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2020.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1902961402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 MEADOW BRIDGE LN STE 6",
"city": "ARRINGTON",
"state": "TN",
"postal_code": "370149109",
"telephone_number": "615-319-5630",
"fax_number": "615-376-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 MEADOW BRIDGE LN",
"city": "ARRINGTON",
"state": "TN",
"postal_code": "370149109",
"telephone_number": "615-319-5630",
"fax_number": "615-376-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "JOSEPH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD2150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3943591",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arrington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.