Briley B. Hearn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

102624T Issued in TX

Practice address

4401 Galleria Oaks Dr
Texarkana, TX 75503-4675

Phone

(903) 838-9063

Fax

(833) 811-8332

NPI assigned

Aug 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Texarkana Eye Care Center LLP

  • Optometrist
  • Texarkana, TX
  • NPI 1285681304
  Medicare reassignment NPD
• Texarkana Eye Care Center LLP

  • Optometrist
  • New Boston, TX
  • NPI 1104599430
  NPD

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1801515879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034675",
            "telephone_number": "903-838-9063",
            "fax_number": "833-811-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034675",
            "telephone_number": "903-838-9063",
            "fax_number": "833-811-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Tyson St",
            "address_purpose": "LOCATION",
            "city": "New Boston",
            "state": "TX",
            "postal_code": "755702821",
            "country_code": "US",
            "telephone_number": "903-628-5555",
            "fax_number": "903-628-0957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEARN",
        "first_name": "BRILEY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "102624T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Associates, LLC
• Healthcare Express, LLP
• Healthcare Express, LLP
• Healthcare Express, LLP
• Healthcare Express, LLP
• Kim Heath
• Heather Pennington, Rnfa
• Theresa Marie Hebert, PAC
• Brenda Diann Hector-Reid, PT
• Jennifer Lynn Hedges, SLP

• Optometrist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.