| Jennifer Jo Martin Lane, OD | |
|
1111a Fort Campbell Blvd, Clarksville, TN 37042-6426 | |
| (931) 645-0346 | |
| (931) 645-0348 |
| Full Name | Jennifer Jo Martin Lane |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 20 Years |
| Location | 1111a Fort Campbell Blvd, Clarksville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932381654 | NPI | - | NPPES |
| Q032337 | Medicaid | TN | |
| 77001501 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3098-035 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | 1631DT (Kentucky) | Secondary |
| 152W00000X | Optometrist | 3423 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| J Martin Lane Eyecare Center | 5991177297 | 2 |
| Regional Health Care Affiliates, Inc | 3173668274 | 23 |
| Provider Name | Regional Health Care Affiliates, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144543349 PECOS PAC ID: 3173668274 Enrollment ID: O20100824000119 |
| Provider Name | Eyecare Center Of Princeton Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790897924 PECOS PAC ID: 9234449679 Enrollment ID: O20151113002148 |
| Provider Name | J Martin Lane Eyecare Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386378339 PECOS PAC ID: 5991177297 Enrollment ID: O20230215001023 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Jo Martin Lane, OD 101 E Shepardson St, Princeton, KY 42445-1633 Ph: (270) 365-6627 | Jennifer Jo Martin Lane, OD 1111a Fort Campbell Blvd, Clarksville, TN 37042-6426 Ph: (931) 645-0346 |
Dr. Benjamin Michael Lee, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2699 Townsend Ct, Clarksville, TN 37043 Phone: 931-647-8417 Fax: 931-648-4435 | |
Family Eye Care Of Clarksville Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1492 Madison St, Clarksville, TN 37040 Phone: 931-648-0544 Fax: 931-648-3625 | |
Dr. Lynbeth Neal Lorey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2315 Madison St, Clarksville, TN 37043 Phone: 931-647-9411 Fax: 931-647-9431 | |
Anthony V. Perry O.d. & Associates Plc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2257 Wilma Rudolph Blvd, Ste E & F, Clarksville, TN 37040 Phone: 931-919-2783 Fax: 931-919-2781 | |
Alyssa Jackson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3929 Lamar Dr, Clarksville, TN 37040 Phone: 931-245-3979 Fax: 931-647-0354 | |
Dr. Corinne Bacher, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2699 Townsend Ct, Clarksville, TN 37043 Phone: 931-648-8417 Fax: 931-648-4435 | |
Sites Vision Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 621 N Riverside Dr, Clarksville, TN 37040 Phone: 931-647-5237 Fax: 931-647-5254 |