DR. MARY GRACE SUMMERS O.D.
NPI 1780664706
Optometrist - Pediatrics in Cordova, TN

Active since January 17, 2006PECOS Enrolled
8045 CLUB PKWY, CORDOVA, TN 38016(901) 758-1384(901) 758-1394 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Grace Summers O.d. NPPES

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

DR. MARY GRACE SUMMERS O.D. (NPI 1780664706) is an individual pediatrics provider in Cordova, Tennessee, licensed in Tennessee (1429) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780664706
Entity TypeIndividualFemale
Primary Taxonomy152WP0200X
Provider Legal NameDR. MARY GRACE SUMMERSCredential: O.D.
Location Address8045 CLUB PKWYCordova, TN 38016-5977
Mailing Address8045 Club PkwyCordova, TN 38016-5977 · (901) 758-1384 · Fax (901) 758-1394
Fax(901) 758-1394
Sole ProprietorYes
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJanuary 20, 2016
NPI 1780664706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License Licensed in TN · 1429
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
8045 CLUB PKWY, Cordova, TN 38016

Other Identifiers 3

Other2240091TN · United Health Care
Other4092194TN · Blue Cross Blue Shield
Medicare ID-Type Unspecified3598531TN

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)

Dr. Mary Grace Summers 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 38016 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 6

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

Family Medicine
8045 CLUB PKWY
CORDOVA, TN 38016
Family Medicine
8045 CLUB PKWY
CORDOVA, TN 38016
Clinic/Center (Urgent Care)
8045 CLUB PKWY
CORDOVA, TN 38016
Optometrist
8045 CLUB PKWY
CORDOVA, TN 38016
Family Medicine
8045 CLUB PKWY
CORDOVA, TN 38016
Pediatrics
8045 CLUB PKWY
CORDOVA, TN 38016

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 Mary Summers's NPI number?

The NPI number for Mary Summers is 1780664706. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Mary Summers located?

Mary Summers practices at 8045 Club Pkwy, Cordova, TN 38016. The listed phone number is (901) 758-1384.

What is Mary Summers's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Mary Summers enrolled in Medicare?

Yes. Mary Summers is registered in the Medicare PECOS enrollment system.

What insurance does Mary Summers accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Mary Summers 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 Mary Summers was last updated on January 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.