Organization Active NPI

Tiffany Hatchett-Bright OD PA

  • Optometrist
  • Sherwood, AR
National Provider Identifier
1184865545
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2551 Issued in AR
Legal business name
TIFFANY HATCHETT-BRIGHT OD PA
Practice address
202 Country Club Rd
Sherwood, AR 72120-4627
Phone
(501) 835-7429
Fax
(501) 833-0028
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Mr. Marsha Powell
Title
Office Manager
Phone
(501) 835-7429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2551 AR Primary

Addresses

Primary practice location

202 Country Club Rd
Sherwood, AR 72120-4627

Mailing address

202 Country Club Rd
Sherwood, AR 72120-4627
Phone (501) 835-7429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090710000004 AR Part B Supplier - Clinic/Group Practice 1759433451 Receives reassigned benefits from 1 practitioner
Practice locations: Sherwood, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1184865545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 COUNTRY CLUB RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204627",
            "telephone_number": "501-835-7429",
            "fax_number": "501-833-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 COUNTRY CLUB RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204627",
            "telephone_number": "501-835-7429",
            "fax_number": "501-833-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY HATCHETT-BRIGHT OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-835-7429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.