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NORTHWEST TENNESSEE EYE CLINIC, PC
NPI 1871610139
Clinic/Center in Martin, TN

Active since March 23, 2007CLIA 44D1054247 · Waiver
111 HIGHWAY 431, MARTIN, TN 38237(731) 587-2022(731) 587-9397 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northwest Tennessee Eye Clinic, Pc NPPES

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

NORTHWEST TENNESSEE EYE CLINIC, PC (NPI 1871610139) is a healthcare organization registered as a clinic/center in Martin, Tennessee and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Michele Brown, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871610139
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNORTHWEST TENNESSEE EYE CLINIC, PC
Location Address111 HIGHWAY 431Martin, TN 38237-8264
Mailing Address111 Highway 431Martin, TN 38237-8264 · (731) 587-2022 · Fax (731) 587-9397
Phone(731) 587-2022
Fax(731) 587-9397
Organization SubpartNo
Authorized OfficialMichele BrownAdministrator · (731) 587-2022
Enumeration DateMarch 23, 2007
Last NPPES UpdateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1871610139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TN · TN1767
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
111 HIGHWAY 431, Martin, TN 38237
Open in Google Maps ↗

Other Identifiers 2

Medicaid3590029TN
Other410033713TN · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Tennessee Eye Clinic, Pc 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 Northwest Tennessee Eye Clinic, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Frances Bynum, O.D.
Optometry
NPI 1982691812
105 HIGHWAY 431
Martin, TN 38237
(731) 587-2022
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1054247

Northwest Tennessee Eye Clinic PC · Martin, TN
Active · expires May 15, 2028
CLIA Number44D1054247
Laboratory TypePractitioner Other
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorFrances D. Bynum
Laboratory Phone(731) 587-2022
Laboratory LocationNorthwest Tennessee Eye Clinic PC111 Highway 431, Martin, TN 38237
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Northwest Tennessee Eye Clinic, PC's NPI number?

The NPI number for Northwest Tennessee Eye Clinic, PC is 1871610139. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Northwest Tennessee Eye Clinic, PC located?

Northwest Tennessee Eye Clinic, PC is located at 111 Highway 431, Martin, TN 38237. The listed phone number is (731) 587-2022.

What is Northwest Tennessee Eye Clinic, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Northwest Tennessee Eye Clinic, PC enrolled in Medicare?

Yes. Northwest Tennessee Eye Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Tennessee Eye Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Northwest Tennessee Eye Clinic, PC. 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.

Does Northwest Tennessee Eye Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1054247) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwest Tennessee Eye Clinic, PC was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.