Organization Active NPI

Hamilton Village Eye Care

  • Optometrist
  • Chattanooga, TN
National Provider Identifier
1669545448
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1825 Issued in TN
Legal business name
HAMILTON VILLAGE EYE CARE
Practice address
2020 Gunbarrel Rd
Suite 100 E
Chattanooga, TN 37421-2679
Phone
(423) 899-9125
Fax
(423) 899-9030
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Brett David McDonough, OD
Title
Optometrist
Phone
(423) 899-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1825 TN Primary

Addresses

Primary practice location

2020 Gunbarrel Rd
Suite 100 E
Chattanooga, TN 37421-2679

Mailing address

2020 Gunbarrel Rd
Suite 100 E
Chattanooga, TN 37421-2679
Phone (423) 899-9125

Other identifiers 1

IdentifierTypeStateIssuer
3945580MedicaidTN

National Provider Directory

National Provider Directory

Locations

2020 Gunbarrel Rd
Ste 100E
Chattanooga, TN 37421
Phone (423) 899-9125

2020 Gunbarrel Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 899-9125

5588 Little Debbie Pkwy
Ste 100E
Ooltewah, TN 37363
Phone (423) 899-9125

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1669545448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GUNBARREL RD",
            "address_2": "SUITE 100 E",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212679",
            "telephone_number": "423-899-9125",
            "fax_number": "423-899-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GUNBARREL RD",
            "address_2": "SUITE 100 E",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212679",
            "telephone_number": "423-899-9125",
            "fax_number": "423-899-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON VILLAGE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "423-899-9125",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3945580",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.