Individual provider Active NPI

Brandy E Hicks, OD

  • Optometrist
  • Sylva, NC
National Provider Identifier
1043210933
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC 1782 Issued in NC
Practice address
400 E Main St
Sylva, NC 28779-3216
Phone
(828) 586-8080
NPI assigned
Jul 21, 2005
Last updated
Aug 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0929KOtherNCBLUE CROSS & BLUE SHIELD
890929KMedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060920000050 NC Practitioner - Optometry 9335144625 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020TNMDRegistered Dietitian
NC 1782NCMDOptometrist
1782NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandy E Hicks OD PA Optometrist CurrentSince Jul 27, 2006 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

Verify at the official NPI Registry.