Individual provider Active NPI

Brandon Lee Dodds, OD

  • Optometrist
  • Newbern, TN
National Provider Identifier
1801971668
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2268 Issued in TN
Practice address
631 W Main St
Dodds Eye Care PLC
Newbern, TN 38059
Phone
(731) 627-1100
Fax
(731) 627-0011
NPI assigned
Oct 27, 2006
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2268 TN Primary

Addresses

Primary practice location

631 W Main St
Dodds Eye Care PLC
Newbern, TN 38059

Mailing address

631 W Main St
Newbern, TN 38059
Phone (731) 627-1100

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
I20041026000044 TN Practitioner - Optometry 9638130388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

631 W Main St
Newbern, TN 38059-1438

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2268TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dodds Eyecare, PLC Optometrist CurrentSince Nov 1, 2004 Accepting new patients

Locations

631 W Main St
Newbern, TN 38059
Phone (731) 627-1100

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1801971668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W MAIN ST",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "38059",
            "telephone_number": "731-627-1100",
            "fax_number": "731-627-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W MAIN ST",
            "address_2": "DODDS EYE CARE PLC",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "38059",
            "telephone_number": "731-627-1100",
            "fax_number": "731-627-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDS",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbern, TN

Sources for this page

Verify at the official NPI Registry.