Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STATES LABRUM OD
NPI 1376469452
Optometrist in Cookeville, TN

Q: What is States Labrum's NPI number?

The NPI number for States Labrum is 1376469452. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Q: What is States Labrum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for States Labrum was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.

Active since June 24, 2026PECOS Enrolled

600 E VETERANS DR STE A, COOKEVILLE, TN 38501(931) 372-1994 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About States Labrum Od NPPES

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

STATES LABRUM OD (NPI 1376469452) is an individual optometrist in Cookeville, Tennessee, licensed in Tennessee (4022) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baxter.

NPPES Registry Identity

NPI1376469452

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameSTATES LABRUMCredential: OD

Location Address600 E VETERANS DR STE ACookeville, TN 38501-4038

Mailing Address11797 Fox Hill RdBaxter, TN 38544-4880 · (615) 975-7395

Phone(931) 372-1994

Sole ProprietorNo

Enumeration DateJune 24, 2026

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1376469452 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 · 4022

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.

600 E VETERANS DR STE A, Cookeville, TN 38501

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Secondary Practice Location 1

Location 111797 Fox Hill RdBaxter, TN 38544-4880 · Phone (615) 975-7395

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

States Labrum Od 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 38501 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

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

DR. KELLY A MARTIN O.D.

Optometrist

600 E VETERANS DR STE A
COOKEVILLE, TN 38501

Putnam County (931) 372-1994

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 States Labrum's NPI number?

The NPI number for States Labrum is 1376469452. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is States Labrum located?

States Labrum practices at 600 E Veterans Dr Ste A, Cookeville, TN 38501. The listed phone number is (931) 372-1994.

What is States Labrum's specialty?

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

Is States Labrum enrolled in Medicare?

Yes. States Labrum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for States Labrum was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.