Individual provider Active NPI

Jessica Brooke Hines-Beard, OD

  • Optometrist
  • Columbia, TN
National Provider Identifier
1669193801
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3774 Issued in TN
Practice address
1227 Hatcher LN
Columbia, TN 38401-3531
Phone
(931) 388-3604
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 3774 TN Primary

Addresses

Primary practice location

1227 Hatcher LN
Columbia, TN 38401-3531

Mailing address

1601 Porter Rd
Nashville, TN 37206-1659
Phone (901) 857-0511

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
I20221206000983 TN Practitioner - Optometry 9638548175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermitage Eye Care, PLLCGroup PAC ID 0446576359, 48 clinicians

Practice addresses (Care Compare)

1227 Hatcher LN
Columbia, TN 38401-3531
Phone (931) 388-3604

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3774TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermitage Eye Care PLLC Optometrist CurrentSince Oct 25, 2022 Accepting new patients
Primary Eyecare Group of Columbia PLLC Optometrist CurrentSince Sep 11, 2022 Accepting new patients
Hermitage Eye Care PLLC Optometrist PastSince Feb 23, 2025 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

782 Old Hickory Blvd
Ste 204
Brentwood, TN 37027
Phone (615) 373-9992

1227 Hatcher Ln
Columbia, TN 38401
Phone (931) 388-3604

5407 Main St
Ste 400
Spring Hill, TN 37174
Phone (931) 489-0029

Organizations & group practices 3

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1669193801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PORTER RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372061659",
            "telephone_number": "901-857-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013531",
            "telephone_number": "931-388-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES-BEARD",
        "first_name": "JESSICA",
        "middle_name": "BROOKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.