Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mallory Mathis, OD

Individual provider Optometrist · NPI 1134805633

Dr. Mallory Mathis, OD is an Optometry in Waverly, Tennessee. Graduated from University of Missouri St Louis - School of Optometry in 2023, 3 years ago. Practices with Hermitage Eye Care, PLLC, a 50-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
TN
In the registry since
2023
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

215 Holly Ln
Waverly, TN 37185-3387
Phone: (931) 296-1990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3824 (TN)

Record details

NPI number1134805633
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address111 E 4th St Ste 440, Alton, IL 62002-6206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2023 (3 years in practice)
Group practice Hermitage Eye Care, Pllc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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