Individual provider Active NPI

Tanner Beard, OD

  • Optometrist
  • Morristown, TN
National Provider Identifier
1649902420
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD3734 Issued in TN
Practice address
1760 W Morris Blvd
Morristown, TN 37813-2834
Phone
(423) 258-5617
NPI assigned
Jun 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD3734 TN Primary

Addresses

Primary practice location

1760 W Morris Blvd
Morristown, TN 37813-2834

Mailing address

1760 W Morris Blvd
Morristown, TN 37813-2834
Phone (423) 258-5617

Other identifiers 1

IdentifierTypeStateIssuer
111106517OtherTNDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@HydeEyecareMorristownTN.CompulinkDirect.com

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
I20220817001075 TN Practitioner - Optometry 7719360155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates of Morristown, Inc.Group PAC ID 3173549094, 6 clinicians

Practice addresses (Care Compare)

1760 W Morris Blvd
Morristown, TN 37813-2834
Phone (423) 581-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD3734TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Morristown, Inc. Optometrist CurrentSince Jul 5, 2022 Accepting new patients

Locations

1760 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-5617

Interoperability endpoints

  • Direct secure messaging: direct@hydeeyecaremorristowntn.compulinkdirect.com

Organizations & group practices 1

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1649902420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132834",
            "telephone_number": "423-258-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132834",
            "telephone_number": "423-258-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "TANNER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD3734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "111106517",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@HydeEyecareMorristownTN.CompulinkDirect.com",
            "affiliation": "N",
            "address_1": "1760 W Morris Blvd",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378132834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.