Individual provider Active NPI

Cortney M Bramlett, O.D.

  • Optometrist
  • Cleveland, TN
National Provider Identifier
1770780348
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2724 Issued in TN
Practice address
2560 Business Park Dr NE
Cleveland, TN 37311-6503
Phone
(423) 472-5401
Fax
(423) 303-1978
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2724 TN Primary

Addresses

Primary practice location

2560 Business Park Dr NE
Cleveland, TN 37311-6503

Mailing address

2560 Business Park Dr NE
Cleveland, TN 37311-6503
Phone (423) 472-5401

Other identifiers 1

IdentifierTypeStateIssuer
35900282OtherTNMEDICARE ID - TYPE UNSPECIFIED

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
I20071023000340 TN Practitioner - Optometry 8123114030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Eye Clinic, PCGroup PAC ID 3375643984, 5 clinicians

Practice addresses (Care Compare)

2560 Business Park Dr NE
Cleveland, TN 37311-6503
Phone (423) 472-5401

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2724TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Eye Clinic, PC CurrentSince Apr 15, 2009 Accepting new patients

Locations

1609 Decatur Pike
Athens, TN 37303
Phone (423) 472-5401

2560 Business Park Dr NE
Cleveland, TN 37311
Phone (423) 472-5401

2415 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 472-5401

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1770780348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PARK DR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116503",
            "telephone_number": "423-472-5401",
            "fax_number": "423-303-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PARK DR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116503",
            "telephone_number": "423-472-5401",
            "fax_number": "423-303-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMLETT",
        "first_name": "CORTNEY",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "35900282",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.