Individual provider Active NPI

Tiffany Hatchett-Bright

  • Optometrist
  • Sherwood, AR
National Provider Identifier
1780860551
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2551 Issued in AR
Practice address
202 Country Club Rd
Sherwood, AR 72120-4627
Phone
(501) 835-7429
Fax
(501) 833-0028
NPI assigned
Jan 11, 2008
Last updated
Dec 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2551 AR Primary

Addresses

Primary practice location

202 Country Club Rd
Sherwood, AR 72120-4627

Mailing address

202 Country Club Rd
Sherwood, AR 72120-4627
Phone (501) 835-7429

Other identifiers 1

IdentifierTypeStateIssuer
180848722MedicaidAR

Other names 1

  • Dr. Tiffany Hatchett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080625000318 AR Practitioner - Optometry 1456422096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 Country Club Rd
Sherwood, AR 72120-4627
Phone (501) 835-7429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2551ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Hatchett-Bright OD PA Optometrist CurrentSince Jan 1, 2009 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1780860551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 COUNTRY CLUB RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204627",
            "telephone_number": "501-835-7429",
            "fax_number": "501-833-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 COUNTRY CLUB RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204627",
            "telephone_number": "501-835-7429",
            "fax_number": "501-833-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHETT-BRIGHT",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180848722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HATCHETT",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.