DR. ELIZABETH GAULT LIGON (NPI# 1700288024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700288024 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH GAULT LIGON |
| Credential | O.D. |
| Practice Address |
725 W Market St Bolivar TN 38008 |
| Mailing Address |
725 W Market St Bolivar TN 38008-2242 |
| Practice Telephone | 7316585197 |
| Practice Fax Number | 7316585197 |
| Mailing Telephone | 7316585197 |
| Mailing Fax Number | 7316585245 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3199 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q01027 | 05 | |
| TN | CIGNA | 7699658 | 01 |
| TN | DAVIS VISION | 48082-001 | 01 |
| TN | EYEMED | A22476 | 01 |
| TN | BCBSTN | 6051220 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 Mina Ave Apt 509, Memphis, TN 381036411 | 8039845278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831327808 | Elizabeth Ligon | Nurse Practitioner | 7 Vauxhall St, New London, CT 06320-5711 | 2009-06-29 |
| Street Address |
725 W MARKET ST |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144697624 | George W Walters Jr | Optometrist | 725 W Market St, Bolivar, TN 38008-2242 | 2015-08-31 |
| 1134142094 | George W Walters, Jr | Optometrist | 725 W Market St, Bolivar, TN 38008-2242 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| Find all providers in zip 38008 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508393612 | Shay Andrea Sechler | Optometrist | 626 S Springfield Ave, Bolivar, MO 65613-2454 | 2017-05-19 |
| 1710964309 | Richard Lane Nutt | Optometrist | 1111 E Cambridge St, Bolivar, MO 65613-3500 | 2005-12-27 |
| 1457344525 | Wesley Don Kemp | Optometrist | 325 S Main Ave, Bolivar, MO 65613-2052 | 2005-08-24 |
| 1497364210 | Steven Bartholomew Od LLC | Optometrist | 2451 S Springfield Ave, Bolivar, MO 65613-9123 | 2020-07-28 |
| 1144697624 | George W Walters Jr | Optometrist | 725 W Market St, Bolivar, TN 38008-2242 | 2015-08-31 |
| 1578969960 | Bolivar Vision, LLC | Optometrist | 325 S Main Ave, Bolivar, MO 65613-2052 | 2014-11-12 |
| 1174768949 | Kemp Family Eye Care, LLC | Optometrist | 325 S Main Ave, Bolivar, MO 65613-2052 | 2008-12-09 |
| 1992903660 | Southwest Ozark Optometric Physicians Inc | Optometrist | 2451 S Springfield Ave, Bolivar, MO 65613-9123 | 2007-07-04 |
| 1134142094 | George W Walters, Jr | Optometrist | 725 W Market St, Bolivar, TN 38008-2242 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1689272502 | Hayden Matz | Optometrist | 2817 W End Ave Ste 117, Nashville, TN 37203-1481 | 2020-10-13 |
| 1013514207 | Eyecare Plus Th Pllc | Optometrist | 1802 N Jackson St Ste 870, Tullahoma, TN 37388-8237 | 2020-10-01 |
| 1942815832 | National Vision Inc | Optometrist | 210 Paul Huff Pkwy Nw Unit 100, Cleveland, TN 37312-2954 | 2020-09-09 |
| 1912516956 | Mallard Eye Care, LLC | Optometrist | 1334 N Ellington Pkwy # P, Lewisburg, TN 37091-2218 | 2020-07-27 |
| 1619585130 | Caroline Elizabeth Vollberg | Optometrist | 7268 Jarnigan Rd Ste 200, Chattanooga, TN 37421-3097 | 2020-07-21 |
| 1154939742 | Jason Chu | Optometrist | 3343 Aspen Grove Dr Ste 200, Franklin, TN 37067-2908 | 2020-07-20 |
| 1467070656 | Amanda Smith Optometry Pllc | Optometrist | 726 N Locust Ave Ste 2d, Lawrenceburg, TN 38464-2874 | 2020-07-14 |
| 1699393363 | National Vision Inc | Optometrist | 295 New Byhalia Rd, Collierville, TN 38017-3770 | 2020-07-09 |
| 1962029280 | Elise Lou Svennevik | Optometrist | 5554 Franklin Pike Ste 100, Nashville, TN 37220-2131 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.