Active NPI
Cassandra Bruno, OD
- Optometrist
- Maryville, TN
National Provider Identifier
1326422130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3246
- Practice address
- 1732 W Broadway Ave
Maryville, TN 37801-5510 - Phone
- (865) 982-6761
- NPI assigned
- Jul 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3246 | TN | Primary |
Addresses
Primary practice location
1732 W Broadway Ave
Maryville, TN 37801-5510
Mailing address
1732 W Broadway Ave
Maryville, TN 37801-5510
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3246 | TN | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Woolfson, MD, PC | Current | Accepting new patients |
Locations
7320 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 894-5300
7305 Jarnigan Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 485-9200
7320 Shallowford Rd
Ste B
Chattanooga, TN 37421
Phone (423) 648-6483
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": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1326422130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 W BROADWAY AVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378015510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 W BROADWAY AVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378015510",
"telephone_number": "865-982-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "CASSANDRA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.