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DR. STANLEY M DICKERSON O.D.
NPI 1467638650
Optometrist in Columbia, TN

Active since January 17, 2008PECOS Enrolled
840 HATCHER LN, COLUMBIA, TN 38401(931) 381-4911(931) 381-0966 Get Directions Write a Review

NPPES record last updated: July 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Stanley M Dickerson O.d. NPPES

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

DR. STANLEY M DICKERSON O.D. (NPI 1467638650) is an individual optometrist in Columbia, Tennessee, licensed in Tennessee (OD612) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467638650
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STANLEY M DICKERSONCredential: O.D.
Location Address840 HATCHER LNColumbia, TN 38401-3528
Mailing Address840 Hatcher LnColumbia, TN 38401-3528 · (931) 381-4911 · Fax (931) 381-0966
Phone(931) 381-4911
Fax(931) 381-0966
Sole ProprietorYes
Enumeration DateJanuary 17, 2008
Last NPPES UpdateJuly 27, 2011
✔ NPI 1467638650 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 · OD612
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.
840 HATCHER LN, Columbia, TN 38401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stanley M Dickerson 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.

Medicare Billing Reassignment

Medicare enrollment records show Stanley Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myeyedr Optometry Of Tennesse, LLC
Same address
Optometrist
840 HATCHER LN
Columbia, TN 38401
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Myeyedr Optometry Of Tennessee LLC
  • 65 clinicians in this Medicare group
NPI 1285274670 (931) 381-4911

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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.

MYEYEDR OPTOMETRY OF TENNESSE, LLC
Optometrist
840 HATCHER LN
COLUMBIA, TN 38401
Maury County (931) 381-4911
OPTICAL INVESTMENT INC.
Optometrist
840 HATCHER LN
COLUMBIA, TN 38401
Maury County (931) 381-4911

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 Stanley Dickerson's NPI number?

The NPI number for Stanley Dickerson is 1467638650. It was assigned to this individual provider in the NPPES registry on January 17, 2008.

Where is Stanley Dickerson located?

Stanley Dickerson practices at 840 Hatcher Ln, Columbia, TN 38401. The listed phone number is (931) 381-4911.

What is Stanley Dickerson's specialty?

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

Is Stanley Dickerson enrolled in Medicare?

Yes. Stanley Dickerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stanley Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Dickerson reassigns Medicare benefits to Myeyedr Optometry Of Tennesse, LLC (Columbia, TN). The 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 Stanley Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stanley Dickerson was last updated on July 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.