Active NPI
Brandy E Hicks, OD
- Optometrist
- Sylva, NC
National Provider Identifier
1043210933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC 1782
- Practice address
- 400 E Main St
Sylva, NC 28779-3216 - Phone
- (828) 586-8080
- NPI assigned
- Jul 21, 2005
- Last updated
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC 1782 | NC | Primary |
Addresses
Primary practice location
400 E Main St
Sylva, NC 28779-3216
Mailing address
PO Box 2218
Sylva, NC 28779-2218
Phone (828) 586-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0929K | Other | NC | BLUE CROSS & BLUE SHIELD |
| 890929K | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 E Main St
Sylva, NC 28779-3216
Phone (828) 586-8080
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020 | TN | MD | Registered Dietitian |
| NC 1782 | NC | MD | Optometrist |
| 1782 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandy E Hicks OD PA | Optometrist | Current | Accepting new patients |
| Coy a Brown, OD PA | Optometrist | Past | Accepting new patients |
Locations
400 E Main St
Sylva, NC 28779
Phone (828) 586-8080
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1043210933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2218",
"city": "SYLVA",
"state": "NC",
"postal_code": "287792218",
"telephone_number": "828-586-8080",
"fax_number": "828-586-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"city": "SYLVA",
"state": "NC",
"postal_code": "287793216",
"telephone_number": "828-586-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "BRANDY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "NC 1782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "0929K",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890929K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.