Brad Hearn OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRAD HEARN OD PA

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

Organization subpart

Yes

Parent organization

BRAD HEARN OD PAAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Atlantic Eye Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Brad Hearn OD PA

  • Optometrist
  • Huntersville, NC
  • NPI 1851566772

  O20080703000335

  Same enrollment

Part of

Brad Hearn OD PA

Locations

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.

• Brad Hearn OD PA

  • Optometrist
  • Huntersville, NC
  • NPI 1851566772
  NPPES parent name

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie A Cole, O.D.

  • Optometrist
  • China Grove, NC
  • NPI 1962698365
  NPD
• Paul Bradford Hearn, O.D.

  • Optometrist
  • Huntersville, NC
  • NPI 1356326607
  NPD
• Paul Bradford Hearn, OD

  • Optometrist
  • Huntersville, NC
  • NPI 1437708393
  NPD
• Alexa Rawlings Lupfer, OD

  • Optometrist
  • Huntersville, NC
  • NPI 1659386241
  NPD
• Charles Van Sikes Jr., O.D.

  • Optometrist
  • Sanford, NC
  • NPI 1619925724
  NPD
• Benjamin McCray Taylor, OD

  • Optometrist
  • Wilmington, NC
  • NPI 1235788795
  NPD
• Rasika Khatu Whitesell, O.D.

  • Optometrist
  • Wilmington, NC
  • NPI 1750717336
  NPD
• Brandi Marie Salazar, O.D.

  • Optometrist
  • Rock Hill, SC
  • NPI 1871842567
  NPD
• Courtney Dryer, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1639452501
  NPD (past)
• Summer Giana Lara, O.D.

  • Pediatric Optometrist
  • Las Cruces, NM
  • NPI 1902188501
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909402",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Carol Blackmon, LMT
• William Boone, ATC
• Patricia Ruth Bowker, RPH
• Maggie Catherine Bowman, OTR/L
• James William Boyer, CST/CSFA
• Katelyn Braswell
• Connie Brenstuhl, RD
• Marjorie Bribitzer, LCSW
• William M Brock, DO
• Rammie Dean Brown, LMBT

• Optometrist in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Optometrist in North Carolina

• 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.