OrganizationActive
Advanced Eyecare Clinic LLC
NPI 1770625204 · Optometrist · Lewisburg, TN
Provider details
- NPI number
- 1770625204
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Jordan, Owner(931) 359-4373
- License
- 2156 (TN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
815 E Commerce St
Lewisburg, TN 37091-3515
Phone: (931) 359-4373
Fax: (931) 359-5772
Street-level locationGet directions
Mailing address
815 E Commerce St
Lewisburg, TN 37091-3515
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2019-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.