Organization Active NPI

Doug Hassenpflug PLLC

  • Optometrist
  • Brentwood, TN
National Provider Identifier
1285072207
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000003086 Issued in TN
Legal business name
DOUG HASSENPFLUG PLLC
Practice address
5006 Mountview PL
Brentwood, TN 37027-6557
Phone
(480) 206-3740
Fax
(615) 922-3740
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Doug H Hassenpflug, OD
Title
Owner
Phone
(480) 206-3740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD0000003086 TN Primary

Addresses

Primary practice location

5006 Mountview PL
Brentwood, TN 37027-6557

Mailing address

5006 Mountview PL
Brentwood, TN 37027-6557
Phone (480) 206-3740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20131106001839 TN Part B Supplier - Clinic/Group Practice 7810122462 Receives reassigned benefits from 1 practitioner
O20170317001070 VA Part B Supplier - Clinic/Group Practice 7810122462 Receives reassigned benefits from 1 practitioner
O20170717003221 GA Part B Supplier - Clinic/Group Practice 7810122462 Receives reassigned benefits from 1 practitioner
Practice locations: Woodstock, GA; Warner Robins, GA; Thomasville, GA; Rossville, GA; Marshallville, GA; Marietta, GA; Lawrenceville, GA; Fayetteville, GA…

National Provider Directory

National Provider Directory

Locations

201 Poplar St
Ideal, GA 31041
Phone (478) 244-2866

613 Roselane St NW
Marietta, GA 30060
Phone (678) 872-2621

777 Nursing Home Rd
Marshallville, GA 31057
Phone (478) 967-2223

801 Elberta Rd
Warner Robins, GA 31093
Phone (478) 923-3146

3300 S Houston Levee Rd
Collierville, TN 38017
Phone (901) 779-8200

1641 Highway 19E Byp
Elizabethton, TN 37643
Phone (423) 542-4133

635 High St
Huntingdon, TN 38344
Phone (502) 596-7021

465 Isbill Rd
Madisonville, TN 37354
Phone (423) 442-3990

704 5th Ave E
Springfield, TN 37172
Phone (615) 384-7977

400 W Strasburg Rd
Front Royal, VA 22630
Phone (540) 303-1245

5251 Concourse Dr
Roanoke, VA 24019
Phone (540) 904-2817

803 S Main St
Woodstock, VA 22664
Phone (540) 459-5676

Practitioners & affiliated clinicians

Practitioners 7

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": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1285072207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 MOUNTVIEW PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276557",
            "telephone_number": "480-206-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 MOUNTVIEW PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276557",
            "telephone_number": "480-206-3740",
            "fax_number": "615-922-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG HASSENPFLUG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "HASSENPFLUG",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-206-3740",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000003086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.