Individual provider Active NPI

Brian Keith Robinson, O.D.

  • Optometrist
  • Dyersburg, TN
National Provider Identifier
1164462776
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD1584 Issued in TN
Practice address
400 Hwy 51 Bypass
Dyersburg, TN 38024
Phone
(731) 286-2744
Fax
(731) 285-3235
NPI assigned
Jun 8, 2006
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD1584 TN Primary

Addresses

Primary practice location

400 Hwy 51 Bypass
Dyersburg, TN 38024

Mailing address

1210 Mineral Wells Ave
Paris, TN 38242-4914
Phone (731) 986-4400

Other identifiers 4

IdentifierTypeStateIssuer
4105814OtherTNBLUE CROSS BLUE SHIELD
6205OtherTNTLC MEMPHIS MANAGED CARE
3599533MedicaidTN
9019808OtherCIGNA HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050713000518 TN Practitioner - Optometry 7618903527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paris Eye Care, LLCGroup PAC ID 9638259757, 3 clinicians
Cape Regional Eye Center PLLCGroup PAC ID 5092616367, 3 clinicians

Practice addresses (Care Compare)

1210 Mineral Wells Ave
Paris, TN 38242-4914
Phone (731) 641-0991

401 E Tickle St
Dyersburg, TN 38024-3119
Phone (731) 286-2801

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1584TNMDSocial Worker
OD1584TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Regional Eye Center PLLC CurrentSince Jan 12, 2019 Accepting new patients
Paris Eye Care, LLC Optometrist CurrentSince Jul 10, 2013 Accepting new patients

Locations

401 E Tickle St
Dyersburg, TN 38024
Phone (731) 286-2801

1210 Mineral Wells Ave
Paris, TN 38242
Phone (731) 641-0991

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1164462776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MINERAL WELLS AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424914",
            "telephone_number": "731-986-4400",
            "fax_number": "731-986-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HWY 51 BYPASS",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-286-2744",
            "fax_number": "731-285-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4105814",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC MEMPHIS MANAGED CARE",
            "identifier": "6205",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3599533",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "9019808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.