Brance E. Hagood
Organization Active NPI Optometrist · Rogersville, TN
NPI 1497084255 · NPPES record last updated Mar 16, 2010
Key facts
- NPI
- 1497084255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OD0000001413 (TN)
- Legal business name
- BRANCE E. HAGOOD
- Practice address
- 215 W Broadway St
Suite a
Rogersville, TN 37857-3280 - Phone
- (423) 272-2345
- Fax
- (423) 272-3324
- NPI assigned
- Dec 8, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Brance Edwin Hagood, O.D.
- Title
- Owner
- Phone
- (423) 272-2345
Practitioners 1
National Provider Directory
Locations
215 W Broadway St
Ste A
Rogersville, TN 37857
Phone (423) 272-2345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OD0000001413 | TN | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X | OD001413 | TN |
Addresses
Primary practice location
215 W Broadway St
Suite a
Rogersville, TN 37857-3280
Mailing address
215 W Broadway St
Suite a
Rogersville, TN 37857-3280
Phone (423) 272-2345
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3598321 | Medicaid | TN |
Other names
- Hagood Eye Care
Other providers in Rogersville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.