Active NPI
Kaylin Marisa Pierce, OD
- Optometrist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3864
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
2100 Hamilton Place Blvd
Suite 280
Chattanooga, TN 37421-6030
Phone (423) 899-8626
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3864 | TN | MD | Clinical Psychologist |
| 5500000174924909 | PA | MD | Optometrist |
| OEG003820 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Torrey J. Carlson & Associates | Optometrist | Current | Accepting new patients |
| Sight and Sun Eyeworks LLC | Optometrist | Current | Accepting new patients |
| Sight and Sun Eyeworks LLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Kingsport, TN
- NPI 1366480964
-
- Optometrist
- Lakeland, FL
- NPI 1437817467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.