Elizabeth D Mabry, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD 28309 Issued in TN

Practice address

1210 Premier Dr Ste 110
The Pointe
Chattanooga, TN 37421-3747

Phone

(423) 385-2020

Fax

(423) 385-2021

NPI assigned

Jul 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of California, San Francisco School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Mabry Eye Center PLLC

  dba Premier Eyewear

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1073661716
  NPD (past) Authorized official

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1992702021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PREMIER DR STE 110",
            "address_2": "THE POINTE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213747",
            "telephone_number": "423-385-2020",
            "fax_number": "423-385-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PREMIER DR STE 110",
            "address_2": "THE POINTE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213747",
            "telephone_number": "423-385-2020",
            "fax_number": "423-385-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD 28309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084305",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Terlizzi Lyon, AU.D.
• Taylor Edward Lyon, AU.D, CCC-A
• Katie N Lyons, CRNA
• Mabry Eye Center PLLC (Premier Eyewear)
• Mabry Eye Center PLLC
• Emily Lorene Mabry
• James Michael Mace II, PHARMD
• Bethany Rose Macewan
• Anna Machado, FNP-BC
• Timothy Sheldon Machado

• Ophthalmology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.

Verify at the official NPI Registry.