Joshua Coleman, O D
Individual provider
Active NPI
Optometrist · Paris, TN
NPI 1912064262 · NPPES record last updated Jul 23, 2008
Key facts
- NPI
- 1912064262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2395 (TN)
- Practice address
- 715 Morton St
Paris, TN 38242-4210
- Phone
- (731) 644-9180
- Fax
- (731) 642-9180
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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.
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
715 Morton St
Paris, TN 38242-4296
Phone (731) 644-9180
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100 (individual)
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|
| Cataract surgery | 173 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20050629001279 |
TN |
Practitioner - Optometry |
8224074232 |
Practice locations: Paris, TN |
| O20100930029879 |
TN |
DME Supplier - Physician - Optometrist |
0244436426 |
Practice locations: Paris, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 2395 | TN | MD | Chiropractor |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Optometrist |
152W00000X |
2395 |
TN |
Yes |
Addresses
Primary practice location
715 Morton St
Paris, TN 38242-4210
Mailing address
715 Morton St
Paris, TN 38242-4210
Phone (731) 644-9180
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 39457641 | Medicaid | TN | |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.