Advanced Eyecare Clinic LLC
NPI 1770625204ActiveOrganization· Optometrist· Lewisburg, TN
Optometrist in Lewisburg, Tennessee, registered in NPPES in February 2007. The authorized official on file is Jeffrey Lawrence Jordan, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770625204 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2007 |
| Last updated in NPPES | Oct 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2156 | TN |
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 Part B Supplier - Clinic/Group Practice (TN) |
|---|
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