Individual provider Active NPI

Kaylin Marisa Pierce, OD

  • Optometrist
  • Chattanooga, TN
National Provider Identifier
1982272126
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3864 Issued in TN
Practice address
2100 Hamilton Place Blvd Ste 280
Chattanooga, TN 37421-6030
Phone
(423) 899-8626
NPI assigned
Jun 14, 2021
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5500000174924909 PA
Optometrist 152W00000X OEG003820 PA
Optometrist 152W00000X OPC6044 FL
Optometrist 152W00000X 3864 TN Primary

Addresses

Primary practice location

2100 Hamilton Place Blvd Ste 280
Chattanooga, TN 37421-6030

Mailing address

PO Box 207151
Dallas, TX 75320-7151
Phone (636) 200-4393

Other practice location 1

18915 State Road 54 Ste A
Lutz, FL 33558-5268
Phone (813) 909-0554

Other practice location 2

3875 US Highway 301 S Ste 5
Riverview, FL 33578-3572
Phone (813) 246-3186

Other practice location 3

3238 Little Rd
Trinity, FL 34655-1865
Phone (727) 236-8797

Other practice location 4

2376 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-5401
Phone (407) 847-0057

Other practice location 5

5201 E Busch Blvd
Temple Terrace, FL 33617-5403
Phone (813) 979-2929

Other practice location 6

407 N Plant Ave
Plant City, FL 33563-7247
Phone (813) 752-1344

Other practice location 7

924 S Florida Ave
Lakeland, FL 33803-1116
Phone (850) 269-3937

Other practice location 8

13141 N Dale Mabry Hwy Ste D&e
Tampa, FL 33618-2443
Phone (813) 264-2769

Other practice location 9

2225 Sun Vista Dr
Lutz, FL 33559-6861
Phone (813) 607-2730

Other practice location 10

2054 Bloomingdale Ave
Valrico, FL 33596-6113
Phone (813) 820-6150

Other practice location 11

619 S Marion Ave
Lake City, FL 32025-5808
Phone (386) 755-3016

Other names 1

  • Kaylin Marisa Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220531000711 FL Practitioner - Optometry 6507244787 Reassigns benefits to 1 organization
I20241022001373 TN Practitioner - Optometry 6507244787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Torrey J. Carlson and AssociatesGroup PAC ID 2365401510, 21 clinicians

Practice addresses (Care Compare)

2100 Hamilton Place Blvd
Suite 280
Chattanooga, TN 37421-6030
Phone (423) 899-8626

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3864TNMDClinical Psychologist
5500000174924909PAMDOptometrist
OEG003820PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Aug 27, 2024 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince May 3, 2022 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince May 3, 2022 Accepting new patients

Locations

417A Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 315-8861

2376 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744
Phone (407) 847-0057

924 S Florida Ave
Lakeland, FL 33803
Phone (727) 789-8770

18915 State Road 54
Ste A
Lutz, FL 33558
Phone (813) 909-0554

2225 Sun Vista Dr
Lutz, FL 33559
Phone (813) 501-7996

1308 W Nine Mile Rd
Ste 1112
Pensacola, FL 32534
Phone (850) 479-2020

407 N Plant Ave
Plant City, FL 33563
Phone (813) 752-1344

3875 US Highway 301 S
Ste 5
Riverview, FL 33578
Phone (813) 246-3186

13141 N Dale Mabry Hwy
Ste De
Tampa, FL 33618
Phone (813) 264-2769

5201 E Busch Blvd
Temple Terrace, FL 33617
Phone (813) 979-2929

3238 Little Rd
Trinity, FL 34655
Phone (727) 236-8797

2054 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 820-6150

2100 Hamilton Place Blvd
Ste 280
Chattanooga, TN 37421
Phone (423) 899-8626

314 Northgate Mall
Spc H40
Chattanooga, TN 37415
Phone (423) 875-4200

314 Northgate Mall
Ste H40
Chattanooga, TN 37415
Phone (423) 875-3060

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

11289 Parkside Dr
Spc 1108
Knoxville, TN 37934
Phone (865) 217-1010

Interoperability endpoints

  • Direct secure messaging: kaylinpierce@direct.eyecare-partners.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1982272126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207151",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207151",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HAMILTON PLACE BLVD STE 280",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216030",
            "telephone_number": "423-899-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18915 State Road 54 Ste A",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335585268",
            "country_code": "US",
            "telephone_number": "813-909-0554",
            "fax_number": "813-909-1557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3875 US Highway 301 S Ste 5",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335783572",
            "country_code": "US",
            "telephone_number": "813-246-3186",
            "fax_number": "813-542-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3238 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551865",
            "country_code": "US",
            "telephone_number": "727-236-8797",
            "fax_number": "727-807-7862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2376 E Irlo Bronson Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445401",
            "country_code": "US",
            "telephone_number": "407-847-0057",
            "fax_number": "407-518-0003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 E Busch Blvd",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336175403",
            "country_code": "US",
            "telephone_number": "813-979-2929",
            "fax_number": "813-988-1163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 N Plant Ave",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335637247",
            "country_code": "US",
            "telephone_number": "813-752-1344",
            "fax_number": "813-752-3320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338031116",
            "country_code": "US",
            "telephone_number": "850-269-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13141 N Dale Mabry Hwy Ste D&e",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182443",
            "country_code": "US",
            "telephone_number": "813-264-2769",
            "fax_number": "813-264-8022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Sun Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335596861",
            "country_code": "US",
            "telephone_number": "813-607-2730",
            "fax_number": "813-948-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2054 Bloomingdale Ave",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "335966113",
            "country_code": "US",
            "telephone_number": "813-820-6150",
            "fax_number": "813-643-9428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 S Marion Ave",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320255808",
            "country_code": "US",
            "telephone_number": "386-755-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KAYLIN",
        "middle_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "5500000174924909",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003820",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6044",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLIN",
            "last_name": "JOHNSON",
            "middle_name": "MARISA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.