Active NPI
Hamilton Village Eye Care
- Optometrist
- Chattanooga, TN
National Provider Identifier
1669545448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1825
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3945580 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Corneal and Contact Management Optometrist
- Crossville, TN
- NPI 1235199985
-
- Optometrist
- Chattanooga, TN
- NPI 1184708588
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.