Brianna Leigh Hacker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00691 Issued in RI

Practice address

400 Bald Hill Rd Ste 163
Warwick, RI 02886-1682

Phone

(401) 738-9866

Fax

(401) 738-1428

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1093363616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD STE 163",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861682",
            "telephone_number": "401-738-9866",
            "fax_number": "401-738-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD STE 163",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861682",
            "telephone_number": "401-738-9866",
            "fax_number": "401-738-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "BRIANNA",
        "middle_name": "LEIGH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Gwilliam, LMHCA
• Caroline M Haas, CRNA
• Richard A Haas, MD
• Megan Haber
• Corey Suheil Habib, DO
• Scott Robert Hacker, OD
• Edmund T Hackman, Jr., OD
• Antoine F O Hadamard, MD
• Ryan Halabi, MD, MBA
• Halcyon at West Bay, LLC

• Optometrist in Warwick, RI
• Providers in Warwick, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.