Southeast Vision Rehabilitation, PLLC

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

Legal business name

SOUTHEAST VISION REHABILITATION, PLLC

Practice address

1043 Executive Dr
Suite 102
Hixson, TN 37343-3997

Phone

(423) 321-8233

Fax

(423) 321-8325

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Heather McBryar, O.D.NPI 1275563512

Title

Owner/Optometrist

Phone

(423) 321-8233

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Heather McBryar, O.D.

  • Optometrist
  • Hixson, TN
  • NPI 1275563512
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1104262773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 EXECUTIVE DR",
            "address_2": "SUITE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433997",
            "telephone_number": "423-321-8233",
            "fax_number": "423-321-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 EXECUTIVE DR",
            "address_2": "SUITE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433997",
            "telephone_number": "423-321-8233",
            "fax_number": "423-321-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST VISION REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "MCBRYAR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "423-321-8233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Decosta Sokohl, MD
• Madeline Somers
• Ellen Pigott Soufleris
• Garrett C Soulen, DDS
• Southeast Senior Services LLC.
• Southeastern Dental Associates of Hixson
• Southeastern Retina Associates, P.C.
• Southern Eyecare Associates Inc
• Lauren Taylor Souza, PA-C, DMS, MSW
• Amanda Yvette Sovago-Royal, LMT

• Low Vision Rehabilitation Optometrist in Hixson, TN
• Providers in Hixson, TN by specialty
• Low Vision Rehabilitation Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.