Dale Hasty

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT001018 Issued in TN

Legal business name

DALE HASTY

Practice address

605 N Main St
Shelbyville, TN 37160-3210

Phone

(931) 684-2020

Fax

(931) 684-7000

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Dale Hasty, O. D.NPI 1164568556

Title

Owner

Phone

(934) 684-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Rose Keith, OD

  • Optometrist
  • Shelbyville, TN
  • NPI 1184335655
  Medicare reassignment NPD
• Kenneth D Hasty, O.D.

  • Optometrist
  • Shelbyville, TN
  • NPI 1164568556
  Authorized official Same address or phone

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1245490630",
    "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": {
        "organization_name": "DALE HASTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "HASTY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "934-684-2020",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT001018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0075676",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "0752740001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jena Annice Cunningham, BS
• Shelby Lynn Cunningham, MD
• Graciela Lopez Curtis
• Victor Cutillo, DPT
• Cutting Edge Optical, LLC
• Brooke Dangerfield, M.S.
• Jeff Daugherty
• Susan Kinard Davenport
• Matthew Gabe Davidson, DO
• Davis Dental, PLLC

• 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 Jun 10, 2008; 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.