Brett David McDonough, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1825 Issued in TN

Practice address

2020 Gunbarrel Road
Suite 100E
Chattanooga, TN 34742-2663

Phone

(423) 899-9125

Fax

(423) 899-9030

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Eye Associates, Inc.Group PAC ID 4789677071, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.41 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.03

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Eye Associates, Inc.

  • Ophthalmology Physician
  • Dalton, GA
  • NPI 1699777862
  Medicare reassignment Care Compare group NPD
• Professional Eye Associates, Inc.

  • Eyewear Supplier
  • Chatsworth, GA
  • NPI 1578079869
  NPD
• Southern Eyecare Associates Inc

  • Optometrist
  • Hixson, TN
  • NPI 1881625770
  NPD (past)
• Professional Eye Associates, Inc.

  • Eyewear Supplier
  • Fort Oglethorpe, GA
  • NPI 1174988232
  NPD (past)
• Professional Eye Associates, Inc.

  • Eyewear Supplier
  • Calhoun, GA
  • NPI 1770678948

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1063504108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21821",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374240821",
            "telephone_number": "423-899-9125",
            "fax_number": "423-899-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GUNBARREL ROAD",
            "address_2": "SUITE 100E",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "347422663",
            "telephone_number": "423-899-9125",
            "fax_number": "423-899-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "BRETT",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "10025073",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3941806",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4035668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles D McDonald Jr., MD
• David Patrick McDonald, D.M.D.
• Preston Arnold McDonald, M.D.
• Richard Steven McDonald Jr., L.C.S.W.
• Sophia McDonald
• Darcalynn Angelica McDonough
• Jordan Elizabeth McDonough
• Patrick D. McDougal, MD
• David Jamison McDowell, PH.D.
• Delaney McDowell

• Optometrist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.

Verify at the official NPI Registry.