Active NPI
Burnett and Hubbard Eyecare PLLC
- Optometrist
- Jackson, TN
National Provider Identifier
1013102284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 886
- Legal business name
- BURNETT AND HUBBARD EYECARE PLLC
- Practice address
- 214 Carriage House Dr
Jackson, TN 38305-3903 - Phone
- (731) 668-4881
- Fax
- (731) 668-5705
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charlene Burnett, O.D.
- Title
- Partner/Optometrist
- Phone
- (731) 668-4881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 886 | TN | Primary |
Addresses
Primary practice location
214 Carriage House Dr
Jackson, TN 38305-3903
Mailing address
214 Carriage House Dr
Jackson, TN 38305-3903
Phone (731) 668-4881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
214 Carriage House Dr
Jackson, TN 38305
Phone (731) 668-4881
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Jackson, TN
- NPI 1114927761
-
- Optometrist
- Jackson, TN
- NPI 1184851628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619395200000",
"number": "1013102284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 CARRIAGE HOUSE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053903",
"telephone_number": "731-668-4881",
"fax_number": "731-668-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 CARRIAGE HOUSE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053903",
"telephone_number": "731-668-4881",
"fax_number": "731-668-5705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURNETT AND HUBBARD EYECARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A",
"authorized_official_last_name": "BURNETT",
"authorized_official_first_name": "CHARLENE",
"authorized_official_title_or_position": "PARTNER/OPTOMETRIST",
"authorized_official_telephone_number": "731-668-4881",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TN",
"license": "886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.