Medina Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

2579 Issued in TN

Legal business name

MEDINA EYECARE

Practice address

25 Middle School Road
Medina, TN 38355

Phone

(731) 225-1894

NPI assigned

Jul 7, 2009

Organization subpart

No

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

Authorized official

Name

Molly Lee

Title

O.D.

Phone

(731) 225-1894

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1942439369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MIDDLE SCHOOL ROAD",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "38355",
            "telephone_number": "731-225-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MIDDLE SCHOOL ROAD",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "38355",
            "telephone_number": "731-225-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "731-225-1894"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Lee, O.D.
• Jimmy R Lewis
• Martin Family Chiropractic
• Heather Ann Martin, D.C.
• Medina Eye Clinic PC
• Medina Family Chiropractic LLC
• Medina Family Medical Clinic PC
• Medina Health & Rehabilitation LLC
• Kimberle Anne Moody, PTA
• Rachel Alexandra Nelson, DO

• Optometrist in Medina, TN
• Providers in Medina, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.