ADVANCED EYECARE CLINIC LLC
NPI 1770625204
Optometrist in Lewisburg, TN

Q: What is Advanced Eyecare Clinic LLC's NPI number?

The NPI number for Advanced Eyecare Clinic LLC is 1770625204. It was assigned to this organization in the NPPES registry on February 12, 2007.

Q: What is Advanced Eyecare Clinic LLC's specialty?

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

Active since February 12, 2007

815 E COMMERCE ST, LEWISBURG, TN 37091(931) 359-4373(931) 359-5772 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Advanced Eyecare Clinic Llc NPPES

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

ADVANCED EYECARE CLINIC LLC (NPI 1770625204) is a healthcare organization registered as an optometrist in Lewisburg, Tennessee and active in the NPI registry since February 2007. The organization lists Jeffrey Lawrence Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1770625204

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameADVANCED EYECARE CLINIC LLC

Location Address815 E COMMERCE STLewisburg, TN 37091-3515

Mailing Address815 E Commerce StLewisburg, TN 37091-3515 · (931) 359-4373 · Fax (931) 359-5772

Phone(931) 359-4373

Fax(931) 359-5772

Organization SubpartNo

Authorized OfficialJeffrey Lawrence JordanOwner · (931) 359-4373

Enumeration DateFebruary 12, 2007

Last NPPES UpdateOctober 17, 2019

✔ NPI 1770625204 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 · 2156

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.

815 E COMMERCE ST, Lewisburg, TN 37091

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Eyecare Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Eyecare Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Jordan, O.D.

Optometry

NPI 1588638092

815 E COMMERCE ST
Lewisburg, TN 37091

(931) 359-4373

✔ 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.

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 Advanced Eyecare Clinic LLC's NPI number?

The NPI number for Advanced Eyecare Clinic LLC is 1770625204. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Advanced Eyecare Clinic LLC located?

Advanced Eyecare Clinic LLC is located at 815 E Commerce St, Lewisburg, TN 37091. The listed phone number is (931) 359-4373.

What is Advanced Eyecare Clinic LLC's specialty?

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

Is Advanced Eyecare Clinic LLC enrolled in Medicare?

Yes. Advanced Eyecare Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Eyecare Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Advanced Eyecare Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Eyecare Clinic LLC was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.