DR. LISA M ELY (O.D.08) – Optometrist, NPI 1396793576
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
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Provider Addresses for DR. LISA M ELY (O.D.08)
Sam's Club, 3315, Guthrie Highway, Clarksville, Montgomery County, Tennessee, 37040, United States
CLARKSVILLE, TN 370405507
Phone: (931) 647-3208
Fax: (931) 552-8732
Type: Location
115, Alexander Boulevard, Clarksville, Montgomery County, Middle Tennessee, Tennessee, 37040, United States
CLARKSVILLE, TN 370405145
Phone: (931) 647-3208
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Alcon Vision LLC ($51).
Total Amount
$99
General + Research + Ownership
Payments
4
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $51 |
| CooperVision Inc. | $29 |
| Bausch & Lomb Americas Inc. | $19 |
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: 2006-06-22
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060622000018 | I | Optometry | TN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 2,070 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 69 | $0 |
| 92134 | Imaging of retina | 48 | 41 | $0 |
| 92285 | Photography of content of eyes | 37 | 36 | $0 |
Insurance plans in this area (ZIP 37040)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | TN | 92083 | Measurement of field of vision during daylight conditions | 16 | 13 |
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