Active NPI
Brent Legrand Adamson, O.D.
- Optometrist
- Paris, TN
National Provider Identifier
1629419957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3124
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Optometry, PLLC | Optometrist | Current | Accepting new patients |
| Paris Eye Care, LLC | Optometrist | Current | 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.
-
- Optometrist
- Paris, TN
- NPI 1780626168
-
- Optometrist
- Jackson, TN
- NPI 1265115901
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.