Hardeman County Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HARDEMAN COUNTY VISION CENTER INC

Practice address

725 W Market St
Bolivar, TN 38008-2242

Phone

(731) 658-5197

Fax

(731) 658-5245

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Gault Ligon, ODNPI 1700288024

Title

Optometrist

Phone

(731) 658-5197

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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

• Elizabeth Gault Ligon, O.D.

  • Optometrist
  • Bolivar, TN
  • NPI 1700288024
  Medicare reassignment NPD Authorized official
• George W Walters, Jr, O.D.

  • Optometrist
  • Bolivar, TN
  • NPI 1134142094
  Medicare reassignment NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1962094193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MEADOW RIDGE DR",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024880",
            "telephone_number": "803-984-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W MARKET ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082242",
            "telephone_number": "731-658-5197",
            "fax_number": "731-658-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDEMAN COUNTY VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "LIGON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "GAULT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "731-658-5197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6051220",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7699658",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "A22476",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q015027",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gwwalter@bellsouth.net",
            "affiliation": "N",
            "endpointDescription": "office email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "725 W Market St",
            "city": "Bolivar",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380082242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hardeman County Community Health Center
• Hardeman County Community Health Center
• Hardeman County Community Health Center
• Hardeman County Community Health Center
• Hardeman County Schools
• Cameron Tyler Hargrove, PHARMD
• Hatchie Clinic P C
• Angela Dawn Haynes, RN
• Hcchc Pharmacy
• Ollie Herron, FNP-C, PMHNP-BC

• All providers in Bolivar, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.