Individual provider Active NPI

Brett A Hines, O.D.

  • Optometrist
  • Cynthiana, KY
National Provider Identifier
1386859015
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1320DT Issued in KY
Practice address
308 N Main St
Cynthiana, KY 41031-1210
Phone
(859) 234-1424
Fax
(859) 234-5463
NPI assigned
May 14, 2007
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1320DT KY Primary

Addresses

Primary practice location

308 N Main St
Cynthiana, KY 41031-1210

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
77013209MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20041213000080 KY Practitioner - Optometry 4284690363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

308 N Main St
Cynthiana, KY 41031-1210
Phone (859) 234-1424

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Kentucky, PLLC Optometrist CurrentSince Dec 6, 2021 Accepting new patients
Myeyedr Optometry of Kentucky, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Kentucky, PLLC Optometrist CurrentSince Dec 6, 2021 Accepting new patients
Brett a Hines OD PSC Optometrist CurrentSince Jan 1, 1990 Accepting new patients
Kentucky Institute for Eye Health & Surgery Past Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Past Accepting new patients

Locations

705 Buttermilk Pike
Ste 100
Crescent Springs, KY 41017
Phone (859) 341-3937

308 N Main St
Cynthiana, KY 41031
Phone (606) 759-7883

8537 US Highway 42
Ste 4F
Florence, KY 41042
Phone (812) 584-8249

142 Pavilion Pkwy
Newport, KY 41071
Phone (859) 291-9464

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
HMH Primary CareCynthiana, KY, CCN 188541 Rural health clinic Corporate Director Jan 1, 2025
HMH Express CareCynthiana, KY, CCN 188562 Rural health clinic Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1386859015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N MAIN ST",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311210",
            "telephone_number": "859-234-1424",
            "fax_number": "859-234-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "BRETT",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1320DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013209",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.