Individual provider Active NPI

Brandon Rushing, OD

  • Optometrist
  • Memphis, TN
National Provider Identifier
1629482823
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3180 Issued in TN
Practice address
6060 Primacy Pkwy
#200
Memphis, TN 38119-5745
Phone
(901) 761-4620
Fax
(901) 761-3072
NPI assigned
Jun 16, 2014
Last updated
Jun 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3180 TN Primary

Addresses

Primary practice location

6060 Primacy Pkwy
#200
Memphis, TN 38119-5745

Mailing address

6060 Primacy Pkwy
#200
Memphis, TN 38119-5745
Phone (901) 761-4620

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
I20140729002326 TN Practitioner - Optometry 4183840036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Eye Care P aGroup PAC ID 2567358732, 6 clinicians

Practice addresses (Care Compare)

6060 E Primacy Pkwy
Suite 200
Memphis, TN 38119-5770
Phone (901) 761-4620

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Eye Care P a Optometrist CurrentSince Jun 18, 2014 Accepting new patients
Total Eye Care PA Optometrist PastSince Jun 18, 2014 Accepting new patients

Locations

6060 E Primacy Pkwy
Ste 200
Memphis, TN 38119
Phone (901) 751-4620

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, 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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1629482823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 PRIMACY PKWY",
            "address_2": "#200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195745",
            "telephone_number": "901-761-4620",
            "fax_number": "901-761-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PRIMACY PKWY",
            "address_2": "#200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195745",
            "telephone_number": "901-761-4620",
            "fax_number": "901-761-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "BRANDON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.