NPIMap

Organization Active NPI

Brad Hearn OD PA

Doing business as Atlantic Eye Associates

  • Optometrist
  • Hampstead, NC
National Provider Identifier
1013479229
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRAD HEARN OD PA
Doing business as
Atlantic Eye Associates
Practice address
16150 US Highway 17 N Ste a
Hampstead, NC 28443-6302
Phone
(910) 270-2800
Fax
(910) 270-9100
NPI assigned
Apr 5, 2019
Last updated
Apr 5, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
BRAD HEARN OD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Bradford Hearn, O.D.
Title
Optometrist/President
Phone
(704) 896-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16150 US Highway 17 N Ste a
Hampstead, NC 28443-6302

Mailing address

16525 Birkdale Commons Pkwy Ste 100
Huntersville, NC 28078-3803
Phone (704) 896-3311

Other names 1

  • Atlantic Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080703000335 NC Part B Supplier - Clinic/Group Practice 9537231741 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hampstead, NC; Huntersville, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Brad Hearn OD PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1013479229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16525 BIRKDALE COMMONS PKWY STE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783803",
            "telephone_number": "704-896-3311",
            "fax_number": "704-896-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 US HIGHWAY 17 N STE A",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284436302",
            "telephone_number": "910-270-2800",
            "fax_number": "910-270-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD HEARN OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAD HEARN OD PA",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "704-896-3311",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.

Verify at the official NPI Registry.