DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC
NPI 1194920967
Optometrist in Dickson, TN

Q: What is Drs. Tidwell, Faulks, And Allen - Optometry, PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 20, 2007

610 HENSLEE DR, DICKSON, TN 37055(615) 446-2020(615) 441-2020 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 16, 2018, Feb 13, 2018 (2 updates tracked since 2018).

On this page

About Drs. Tidwell, Faulks, And Allen - Optometry, Pllc NPPES

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

DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC (NPI 1194920967), doing business as Tidwell And Faulks, Doctors Of Optometry, Plc, is a healthcare organization registered as an optometrist in Dickson, Tennessee and active in the NPI registry since June 2007. The organization lists Jamie Leigh Miller, Certified Insurance Tech And Data E, as its authorized official.

NPPES Registry Identity

NPI1194920967

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC

Location Address610 HENSLEE DRDickson, TN 37055-1211

Mailing Address610 Henslee DrDickson, TN 37055-1211 · (615) 446-2020 · Fax (615) 441-2020

Phone(615) 446-2020

Fax(615) 441-2020

Organization SubpartNo

Authorized OfficialJamie Leigh MillerCertified Insurance Tech And Data E · (615) 446-2020

Enumeration DateJune 20, 2007

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1194920967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

610 HENSLEE DR, Dickson, TN 37055

Open in Google Maps ↗

Other Names 2

Former Legal Business NameTidwell And Faulks, Doctors Of Optometry, Plc

Other NameDrs. Tidwell And Faulks

Other Identifiers 8

Other3113988TN · Tidwell And Faulks Bcbst

Other3119266TN · Dr David Faulks Bcbst

Other6022728TN · Dr Allen Bcbst

MedicaidQ007418TN

Other3113993TN · Dr Jerry Tidwell Bcbst

Medicaid3942446TN

Medicaid3595699TN

Other3595690TN · Medicare Jerry Tidwell

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Drs. Tidwell, Faulks, And Allen - Optometry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Drs. Tidwell, Faulks, And Allen - Optometry, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Stephen Allen, O.D.

Optometry

NPI 1578970182

610 HENSLEE DR
Dickson, TN 37055

(615) 446-2020

✔ PECOS✔ Accepts MedicareSame address

David Faulks, OD

Optometry

NPI 1982673935

610 HENSLEE DR
Dickson, TN 37055

(615) 446-2020

✔ PECOS✔ Accepts MedicareSame address

Jerry Tidwell, OD

Optometry

NPI 1013986603

610 HENSLEE DR
Dickson, TN 37055

(615) 446-2020

✔ PECOS✔ Accepts MedicareSame address

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Drs. Tidwell, Faulks, And Alle carries, from the Medicare DMEPOS supplier directory.

Drs. Tidwell, Faulks, And Alle

DMEPOS supplier · Dickson, TNOperated by Drs. Tidwell, Faulks, And Allen - Optometry, PLLC

✔

Accepts Medicare assignment

Drs. Tidwell, Faulks, And Alle agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20634155

Medicare Participant SinceFebruary 21, 1999

Supplier Location610 Henslee DrDickson, TN 37055

Phone(615) 446-2020

Supplier Specialties

Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Prosthetic Lenses: Prosthetics Cataract Lenses

Cataract Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Drs. Tidwell, Faulks, And Allen - Optometry, PLLC's NPI number?

The NPI number for Drs. Tidwell, Faulks, And Allen - Optometry, PLLC is 1194920967. It was assigned to this organization in the NPPES registry on June 20, 2007. The provider is also known as Drs. Tidwell and Faulks. The provider was formerly known as Tidwell And Faulks, Doctors Of Optometry, Plc.

Where is Drs. Tidwell, Faulks, And Allen - Optometry, PLLC located?

Drs. Tidwell, Faulks, And Allen - Optometry, PLLC is located at 610 Henslee Dr, Dickson, TN 37055. The listed phone number is (615) 446-2020.

What is Drs. Tidwell, Faulks, And Allen - Optometry, PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Drs. Tidwell, Faulks, And Allen - Optometry, PLLC enrolled in Medicare?

Yes. Drs. Tidwell, Faulks, And Allen - Optometry, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Drs. Tidwell, Faulks, And Allen - Optometry, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Drs. Tidwell, Faulks, And Allen - Optometry, PLLC. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Drs. Tidwell, Faulks, And Allen - Optometry, PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Drs. Tidwell, Faulks, And Alle accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Drs. Tidwell, Faulks, And Allen - Optometry, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Drs. Tidwell, Faulks, And Allen - Optometry, PLLC 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 Drs. Tidwell, Faulks, And Allen - Optometry, PLLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.