Lisa L Privett, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T1481 Issued in TN

Practice address

135 S Bells St
Alamo, TN 38001-1779

Phone

(731) 696-4004

Fax

(731) 696-4009

NPI assigned

May 6, 2006

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lisa K Privett Family Eye CareGroup PAC ID 3577683812, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Jordan Collins Shell, O.D.

  • Optometrist
  • Alamo, TN
  • NPI 1154055069
  Medicare reassignment

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.

• Family Eye Care Group, LLC

  dba Crockett Eye Care & Covington Eye Care

  • Optometrist
  • Alamo, TN
  • NPI 1447147541
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1992754295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011779",
            "telephone_number": "731-696-4004",
            "fax_number": "731-696-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011779",
            "telephone_number": "731-696-4004",
            "fax_number": "731-696-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Highway 51 S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380192427",
            "country_code": "US",
            "telephone_number": "731-696-4004",
            "fax_number": "731-696-4009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIVETT",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T1481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3598962",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Louis Lavenue, DPH
• Cortni McCall
• Emily McCurry
• Marquesa Aniya McKinnie
• Jeffrey Neal Nolen
• Virginia Ann Reeser, PA-C
• Donna K. Reynolds, RN
• Raymond Wayne Rhear, MD
• Rebecca Claire Richards
• Mica Lynn Rudd, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.