Drs. Tidwell, Faulks, and Allen - Optometry, PLLC
NPI 1194920967ActiveOrganization· Optometrist· Dickson, TN
Optometrist in Dickson, Tennessee, registered in NPPES in June 2007. The authorized official on file is Jamie Leigh Miller, DO, Certified Insurance Tech And Data E. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1194920967 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2007 |
| Last updated in NPPES | Jun 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (TN); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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