James Chancey Lett Jr., O.D.
NPI 1427068881ActiveIndividual· Optometrist· Chattanooga, TN
Optometrist (O.D.) in Chattanooga, Tennessee, trained at Southern College of Optometry (class of 1983). Mostly services rather than prescriptions: Medicare paid $10,596 for 138 patients in 2024, with only 33 Part D claims. Alcon Vision LLC was the largest of 2 companies reporting payments in 2025, $114.42 in all, mostly food and beverage.
Overview
| NPI | 1427068881 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Aug 9, 2006 |
| Last updated in NPPES | Mar 24, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODT892 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 138 |
|---|---|
| Services billed | 152 across 9 procedure codes |
| Paid by Medicare | $10,596 |
Part D prescriptions in 2024
| Prescriptions (claims) | 33 · 45 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $2,352 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | Southern College of Optometry |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Optometry |
Medical group
- Thompson and Lett Eye Care, PLLCChattanooga, TN · 3 clinicians
Industry payments (Open Payments)
- 2025$114.42 · 4 payments from 2 companies
- 2024$50.47 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $80.21 | 3 |
| Tarsus Pharmaceuticals, Inc. | $34.21 | 1 |
What the 2025 payments were for
- Food and Beverage$114.42 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 70 optometrists in Chattanooga · All optometrists in Tennessee