Individual provider Active NPI

Douglas Hassenpflug, O.D.

  • Optometrist
  • Brentwood, TN
National Provider Identifier
1285621672
Registry record updated Dec 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1126 Issued in AZ
Practice address
108 Breaker Cir
Brentwood, TN 37027-1803
Phone
(480) 206-3740
Fax
(615) 922-3740
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1126 AZ Primary

Addresses

Primary practice location

108 Breaker Cir
Brentwood, TN 37027-1803

Mailing address

108 Breaker Cir
Brentwood, TN 37027-1803
Phone (480) 206-3740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131107000900 TN Practitioner - Optometry 8426949132 Reassigns benefits to 1 organization
I20170317001843 VA Practitioner - Optometry 8426949132 Reassigns benefits to 1 organization
I20170717003716 GA Practitioner - Optometry 8426949132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15051 Harmony Hills LN
Abingdon, VA 24211-7661
Phone (276) 451-2590

2130 Anderson Mill Rd
Austell, GA 30106-1806
Phone (770) 941-8813

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1123AZMDClinical Psychologist
3086TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doug Hassenpflug PLLC Optometrist CurrentSince Jun 18, 2013 Accepting new patients

Locations

2130 Anderson Mill Rd
Austell, GA 30106
Phone (770) 941-8813

150 Hospital Cir
Canton, GA 30114
Phone (770) 479-5648

220 Highway 76
Clarksville, TN 37043
Phone (931) 552-0181

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

1317 Lola Ave
Altavista, VA 24517
Phone (434) 309-7254

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512777600000",
    "number": "1285621672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BREAKER CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271803",
            "telephone_number": "480-206-3740",
            "fax_number": "615-922-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BREAKER CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271803",
            "telephone_number": "480-206-3740",
            "fax_number": "615-922-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSENPFLUG",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2017-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.