Kenneth D Hasty, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1018 Issued in TN

Practice address

605 N Main St
Shelbyville, TN 37160-3210

Phone

(931) 684-2020

Fax

(931) 684-7000

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1164568556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603210",
            "telephone_number": "931-684-2020",
            "fax_number": "931-684-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603210",
            "telephone_number": "931-684-2020",
            "fax_number": "931-684-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTY",
        "first_name": "KENNETH",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "0752740001",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardin Family Medicine PLLC
• Brenda Hargrove
• Kenda Marshelle Harrison, NP
• Alice Erin Harwell, M.ED.
• Linda Gail Harwell
• Marisa Hausrath, PT
• Healthy Kids LLC
• Aundrea Kay Henderson Gregory, O.D.
• Ashton Blair Henley, PHARMD
• Adela Hernandez, MASSAGE THERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.