Active NPI
Heather McBryar, O.D.
- Optometrist
- Hixson, TN
National Provider Identifier
1275563512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2613
- Practice address
- 1043 Executive Dr
Suite 102
Hixson, TN 37343-3997 - Phone
- (423) 321-8233
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2613 | TN | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 2613 | TN | |
| Pediatric Optometrist | 152WP0200X | 2613 | TN | |
| Vision Therapy Optometrist | 152WV0400X | 2613 | TN |
Addresses
Primary practice location
1043 Executive Dr
Suite 102
Hixson, TN 37343-3997
Mailing address
1043 Executive Dr
Suite 102
Hixson, TN 37343-3997
Phone (423) 321-8233
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1043 Executive Dr
Suite 102
Hixson, TN 37343-3997
Phone (423) 321-8233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2613 | TN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Vision Rehabilitation, PLLC | Optometrist | Current | Accepting new patients |
| Pediatric Vision Associates, PLLC | Optometrist | Past | Accepting new patients |
Locations
1043 Executive Dr
Ste 102
Hixson, TN 37343
Phone (423) 321-8223
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.
-
- Low Vision Rehabilitation Optometrist
- Hixson, TN
- NPI 1104262773
-
- Optometrist
- Memphis, TN
- NPI 1669490579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1275563512",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRYAR",
"first_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2613",
"primary": true
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "TN",
"license": "2613",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TN",
"license": "2613",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "TN",
"license": "2613",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.