Paul Bradford Hearn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1223 Issued in NC

Practice address

16525 Birkdale Commons Pkwy
Suite 100
Huntersville, NC 28078-3802

Phone

(704) 896-3311

Fax

(704) 896-5514

NPI assigned

Dec 9, 2005

Last updated

Sep 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brad Hearn OD PAGroup PAC ID 9537231741, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brad Hearn OD PA

  dba Lakeside Eye Associates

  • Optometrist
  • Huntersville, NC
  • NPI 1851566772
  Medicare reassignment Care Compare group NPD
• Brad Hearn OD PA

  dba Atlantic Eye Associates

  • Optometrist
  • Hampstead, NC
  • NPI 1013479229
  NPD

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1356326607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16525 BIRKDALE COMMONS PKWY",
            "address_2": "SUITE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783802",
            "telephone_number": "704-896-3311",
            "fax_number": "704-896-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16525 BIRKDALE COMMONS PKWY",
            "address_2": "SUITE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783802",
            "telephone_number": "704-896-3311",
            "fax_number": "704-896-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "PAUL",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909402",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0916H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HBS Physical Therapy LLC
• Healingworks Counseling PLLC
• Health Works, Inc. (Health & Sport Works)
• Healthbuilders Chiropractic Inc
• Healthcare of Carolina, PLLC
• Paul Bradford Hearn, OD
• Katie Lane Heath, LCMHCA
• Timothy Lee Heath, M.A., L.P.C., NBCCH
• Leyna Hebert, MS, ATC
• Hebron Center for Counseling and Recovery

• Optometrist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.

Verify at the official NPI Registry.