LINDSEY BUCKHOLZ – Optometrist, NPI 1114779774

LINDSEY BUCKHOLZ is a healthcare provider. based in Memphis, Tennessee. specializing in OPTOMETRY. They hold a License No. 3947 (TN). The NPI Number for LINDSEY BUCKHOLZ is 1114779774

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
LINDSEY BUCKHOLZ
NPI
1114779774
Phone
(816) 401-9929
Address
1245 MADISON AVE
Enumeration Date
4 April 2024
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9315400700
Graduation Year
2024 (2 years ago)
PAC ID
4183134158
Group Practice PAC ID
3072427368
Professional Enrollment ID
I20250609002540
Address ID
TN384014338CO816XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

963 OPTOMETRY in TN

Provider Addresses for LINDSEY BUCKHOLZ

  • 1245 MADISON AVE

    MEMPHIS, TN 381042211

    Phone: (816) 401-9929

    Type: Mailing

  • 419 MEMORIAL BLVD

    MURFREESBORO, TN 371292759

    Phone: (159) 337-5446

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250609002540IOptometryTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072427368View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTX
O P T O M E T R YTN
-TN

Reviews

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Frequently asked questions

How is LINDSEY BUCKHOLZ identified in CMS data?
CMS-hosted NPPES data lists LINDSEY BUCKHOLZ with NPI 1114779774.
Is LINDSEY BUCKHOLZ listed as active for patients and plans?
The listing shows LINDSEY BUCKHOLZ as active in the NPI system.
What is LINDSEY BUCKHOLZ's specialty?
The listing groups LINDSEY BUCKHOLZ with Optometrist. Clinical services aligned with this taxonomy classification.
Where is LINDSEY BUCKHOLZ based?
LINDSEY BUCKHOLZ is tied to Memphis, Tennessee in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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