Individual provider Active NPI

Brent Legrand Adamson, O.D.

  • Optometrist
  • Paris, TN
National Provider Identifier
1629419957
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3124 Issued in TN
Practice address
1210 Mineral Wells Ave
Paris, TN 38242
Phone
(731) 641-0991
NPI assigned
Jul 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3124 TN Primary

Addresses

Primary practice location

1210 Mineral Wells Ave
Paris, TN 38242

Mailing address

2171 S Highland Ave
Jackson, TN 38301-7739
Phone (731) 300-5013

Other practice location 1

2171 S Highland Ave
Jackson, TN 38301-7739
Phone (731) 300-5013

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131014001006 TN Practitioner - Optometry 6901030527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paris Eye Care, LLCGroup PAC ID 9638259757, 3 clinicians

Practice addresses (Care Compare)

1210 Mineral Wells Ave
Paris, TN 38242-4914
Phone (731) 641-0991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Optometry, PLLC Optometrist CurrentSince Jan 14, 2026 Accepting new patients
Paris Eye Care, LLC Optometrist CurrentSince Sep 1, 2013 Accepting new patients

Locations

2171 S Highland Ave
Jackson, TN 38301
Phone (731) 300-5013

1210 Mineral Wells Ave
Paris, TN 38242
Phone (731) 641-0991

Organizations & group practices 2

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": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1629419957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 S HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017739",
            "telephone_number": "731-300-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MINERAL WELLS AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38242",
            "telephone_number": "731-641-0991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383017739",
            "country_code": "US",
            "telephone_number": "731-300-5013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMSON",
        "first_name": "BRENT",
        "middle_name": "LEGRAND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.