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EYE CENTERS OF TENNESSEE, LLC
NPI 1104940790
Ophthalmology in Crossville, TN

Active since March 19, 2007
15 IRIS LN, CROSSVILLE, TN 38555(931) 456-2728(931) 456-5446 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 26, 2021, Oct 31, 2019, Dec 3, 2018 and 1 more (4 updates tracked since 2018).

About Eye Centers Of Tennessee, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE CENTERS OF TENNESSEE, LLC (NPI 1104940790) is a healthcare organization registered as an ophthalmology in Crossville, Tennessee and active in the NPI registry since March 2007. The organization lists Raymond K Mays, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104940790
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE CENTERS OF TENNESSEE, LLC
Location Address15 IRIS LNCrossville, TN 38555-7528
Mailing Address15 Iris LnCrossville, TN 38555-7528 · (931) 456-2728 · Fax (931) 456-5446
Phone(931) 456-2728
Fax(931) 456-5446
Organization SubpartNo
Authorized OfficialRaymond K MaysAdministrator · (931) 456-2728
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 26, 20214 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1104940790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License MD16334 (TN)
15 IRIS LN, Crossville, TN 38555
Open in Google Maps ↗

Other Identifiers 2

Other3144522TN · Blue Cross Blue Shield
Medicaid3943261TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Centers Of Tennessee, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Eye Centers Of Tennessee, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Optometry12
Ophthalmology5

Clinicians, nearest first (17)

Kailey Boynton, OD
Optometry
NPI 1285203547
15 IRIS LN
Crossville, TN 38555
(931) 456-2728
✔ PECOS✔ Accepts MedicareSame address
Philip Brock, OD
Optometry
NPI 1043078611
15 IRIS LN
Crossville, TN 38555
(931) 456-2728
✔ PECOS✔ Accepts MedicareSame address
Matthew Page, OD
Optometry
NPI 1841724176
15 IRIS LN
Crossville, TN 38555
(931) 456-2728
✔ PECOS✔ Accepts MedicareSame address
Larry Patterson, M.D.
Ophthalmology
NPI 1851394241
15 IRIS LN
Crossville, TN 38555
(931) 456-2728
✔ PECOS✔ Accepts MedicareSame address
Michael Patterson, D.O.
Ophthalmology
NPI 1851654867
15 IRIS LN
Crossville, TN 38555
(931) 456-2728
✔ PECOS✔ Accepts MedicareSame address
David Merritt, OD
Optometry
NPI 1831231158
305 N SPRING ST
Sparta, TN 38583
(931) 836-2424
✔ PECOS✔ Accepts Medicare25 mi
Heather Brown-Conner, OD
Optometry
NPI 1891851937
999 GUARDIAN WAY
Cookeville, TN 38501
(931) 650-4100
✔ PECOS✔ Accepts Medicare29 mi
James Grisolano, M.D.
Ophthalmology
NPI 1356344725
999 GUARDIAN WAY
Cookeville, TN 38501
(931) 650-4100
✔ PECOS✔ Accepts Medicare29 mi
Amy Johnson, M.D.
Ophthalmology
NPI 1598145450
999 GUARDIAN WAY
Cookeville, TN 38501
(931) 650-4100
✔ PECOS✔ Accepts Medicare29 mi
Andrew Johnson, M.D.
Ophthalmology
NPI 1184072209
999 GUARDIAN WAY
Cookeville, TN 38506
(931) 650-4100
✔ PECOS✔ Accepts Medicare29 mi
Joshua Oliver, OD
Optometry
NPI 1649848235
999 GUARDIAN WAY
Cookeville, TN 38501
(931) 650-4100
✔ PECOS✔ Accepts Medicare29 mi
Amanda Kirk, O.D.
Optometry
NPI 1477860708
430 NEAL ST
Cookeville, TN 38501
(931) 528-6411
✔ PECOS✔ Accepts Medicare29 mi
Stephen Richardson, O.D.
Optometry
NPI 1801895438
430 NEAL ST
Cookeville, TN 38501
(931) 528-6411
✔ PECOS✔ Accepts Medicare29 mi
Holly Pendel, OD
Optometry
NPI 1134672629
802 W MAIN ST
Livingston, TN 38570
(931) 400-5154
✔ PECOS✔ Accepts Medicare34 mi
Jordan Smith, O.D.
Optometry
NPI 1225292139
1205 OLD HIGHWAY 127 S
Jamestown, TN 38556
(931) 879-5897
✔ PECOS✔ Accepts Medicare35 mi
Katie Smith, OD
Optometry
NPI 1083238174
220 N CHANCERY ST
Mcminnville, TN 37110
(931) 473-2487
✔ PECOS✔ Accepts Medicare46 mi
Brooke David, OD
Optometry
NPI 1326442559
6101 LEE HWY
Chattanooga, TN 37421
(423) 954-1746
✔ PECOS✔ Accepts Medicare65 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Centers Of Tennessee, LLC's NPI number?

The NPI number for Eye Centers Of Tennessee, LLC is 1104940790. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Eye Centers Of Tennessee, LLC located?

Eye Centers Of Tennessee, LLC is located at 15 Iris Ln, Crossville, TN 38555. The listed phone number is (931) 456-2728.

What is Eye Centers Of Tennessee, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eye Centers Of Tennessee, LLC enrolled in Medicare?

Yes. Eye Centers Of Tennessee, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Centers Of Tennessee, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Centers Of Tennessee, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (12) and Ophthalmology (5). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eye Centers Of Tennessee, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 8 other insurers list Eye Centers Of Tennessee, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eye Centers Of Tennessee, LLC was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.