Robin Michael Brady, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0000001640 Issued in TN

Practice address

2180 Hillsboro Blvd
Manchester, TN 37355-7308

Phone

(931) 728-1650

Fax

(931) 728-9849

NPI assigned

Jul 1, 2005

Last updated

May 8, 2025By 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

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Alabama School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Donelson Eyecare, PLLCGroup PAC ID 0446299051, 4 clinicians

Cool Springs Eyecare PLLCGroup PAC ID 8921193285, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cool Springs Eyecare, PLLC

  • Optometrist
  • Franklin, TN
  • NPI 1104968817
  Medicare reassignment Care Compare group NPD
• Donelson Eyecare, PLLC

  • Optometrist
  • Nashville, TN
  • NPI 1548302854
  Medicare reassignment Care Compare group NPD
• Manchester Eyecare LLC

  • Optometrist
  • Manchester, TN
  • NPI 1366160582
  Medicare reassignment NPD Authorized official
• Angela F Crisp MD PC

  • Ophthalmology Physician
  • Murfreesboro, TN
  • NPI 1558399139
  NPD (past)
• Heikki E Kostamaa MD PC

  • Ophthalmology Physician
  • Nashville, TN
  • NPI 1104850130
  NPD (past)
• Southeast Eye Specialists, PLLC

  • Ophthalmology Physician
  • Soddy Daisy, TN
  • NPI 1750981189
  NPD (past)
• Southeastern Retina Associates, P.C.

  • Retina Specialist (Ophthalmology) Physician
  • Hixson, TN
  • NPI 1104097310
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1609873942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373557308",
            "telephone_number": "615-618-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373557308",
            "telephone_number": "931-728-1650",
            "fax_number": "931-728-9849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3252 Aspen Grove Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370674894",
            "country_code": "US",
            "telephone_number": "615-771-7555",
            "fax_number": "615-771-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2378 Lebanon Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372142411",
            "country_code": "US",
            "telephone_number": "615-889-0147",
            "fax_number": "615-889-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ROBIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000001640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7309",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3946048",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbrady@southeasteye.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Greenway PrimeSuite",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "7268 Jarnigan Rd",
            "address_2": "Suite 200",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374213097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bonnesant Enterprises, LLC (Doctors Associates Home Health)
• Cristi Lee Bouldin, DPM
• Eric B Bouldin, D.P.M.
• Macey Elyse Bowman
• Ronald Bradford, D.PH.
• Brandon Medical Group PLLC
• Albert R Brandon Jr., DO
• Nicole Lynn Brinkley, FNP
• Ruth Brooks, PTA
• Courtney Johnson Brown, LCSW

• Optometrist in Manchester, TN
• Providers in Manchester, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.