Brandy E Hicks OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1782 Issued in NC

Legal business name

BRANDY E HICKS OD PA

Doing business as

Mountain View Eyecare

Practice address

400 E Main St
Sylva, NC 28779-3216

Phone

(828) 586-8080

NPI assigned

Sep 16, 2006

Last updated

Aug 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brandy Edalgo Hicks, O.D.NPI 1043210933

Title

President

Phone

(828) 586-8080

Specialties & licenses 1

Addresses

Other names 1

• Mountain View Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandy E Hicks, OD

  • Optometrist
  • Sylva, NC
  • NPI 1043210933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1649376369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2218",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792218",
            "telephone_number": "828-586-8080",
            "fax_number": "828-586-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793216",
            "telephone_number": "828-586-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY E HICKS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "EDALGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-586-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie J Borgerding, D.O.
• Marilyn S Borom, LCSW-A
• Molly Rebecca Boughman, MSW, LCSW-A
• Toni Brackett, MSW, P-LCSW
• Jeremy Bradford
• Donna Todd Brock, NP
• Kristen Brooks, PA-C
• Debra Brown, PT
• Gregory P Brown, MD
• Jonathan F Brown, PT, DPT

• Optometrist in Sylva, NC
• Providers in Sylva, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.