SANDY L MYSLIWIEC O.D.
NPI 1285860841
Optometrist in Jacksboro, TN

Active since June 09, 2009PECOS Enrolled
2523 JACKSBORO PIKE, JACKSBORO, TN 37757(423) 566-2020(423) 566-4245 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 3, 2019, Jun 21, 2016 (2 updates tracked since 2016).

About Sandy L Mysliwiec O.d. NPPES

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

SANDY L MYSLIWIEC O.D. (NPI 1285860841) is an individual optometrist in Jacksboro, Tennessee, licensed in Tennessee (1926) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285860841
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSANDY L MYSLIWIECCredential: O.D.
Location Address2523 JACKSBORO PIKEJacksboro, TN 37757-4847
Mailing AddressPo Box 296Ferguson, KY 42533-0296 · (606) 492-2211 · Fax (606) 676-0873
Fax(423) 566-4245
Sole ProprietorNo
Enumeration DateJune 9, 2009
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
NPI 1285860841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in TN · 1926
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.

2523 JACKSBORO PIKE, Jacksboro, TN 37757

Other Identifiers 13

Other0487990010TN · Maynardville Group Medicare Ptan Dme
Other4247102TN · Bcbstn/bluecare/tenncare
Other1285860841Humana
Medicaid3942271TN
Other9356427Aetna
Other0487990009TN · Jacksboro Group Medicare Dme Ptan
OtherP01993204TN · Rr Medicare
Other103I415299TN · Medicare Ptan
Other12282Superior Vision
Other3941347TN · Tn Medicare Group Jacksboro
Other5668218Cigna
Other1285860841Amerigroup
Other1285860841March Vision

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sandy L Mysliwiec O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2523 JACKSBORO PIKE
JACKSBORO, TN 37757
Optometrist
2523 JACKSBORO PIKE
JACKSBORO, TN 37757

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285860841, enumerated as an "individual" on June 09, 2009.

The provider is located at 2523 JACKSBORO PIKE JACKSBORO, TN 37757 and the phone number is (423) 566-2020.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.