Individual provider Active NPI

Danielle Zasoski Hebert, OD

  • Optometrist
  • Germantown, TN
National Provider Identifier
1831768407
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3681 Issued in TN
Practice address
2109 West St
Germantown, TN 38138-3833
Phone
(901) 754-6020
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3681 TN Primary

Addresses

Primary practice location

2109 West St
Germantown, TN 38138-3833

Mailing address

2109 West St
Germantown, TN 38138-3833
Phone (901) 268-5884

Other practice location 1

7706 Winchester Rd Ste 105
Memphis, TN 38125-2399
Phone (901) 752-1551

Other practice location 2

7794 Kings College Ave Apt 519
Germantown, TN 38138-2160
Phone (901) 268-5884

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
I20211021001484 TN Practitioner - Optometry 0648668814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optical Boutique Family EyecareGroup PAC ID 0143670414, 3 clinicians

Practice addresses (Care Compare)

2109 W St
Suite 1
Germantown, TN 38138-3834
Phone (901) 754-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3681TNMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven R. Shum CurrentSince Jan 17, 2022 Accepting new patients
Optical Boutique Family Eyecare Optometrist CurrentSince Jan 15, 2024 Accepting new patients

Locations

2109 West St
Ste 1
Germantown, TN 38138
Phone (901) 754-6020

2109 West St
Germantown, TN 38138
Phone (901) 754-6020

Organizations & group practices 2

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1831768407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383833",
            "telephone_number": "901-268-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383833",
            "telephone_number": "901-754-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7706 Winchester Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381252399",
            "country_code": "US",
            "telephone_number": "901-752-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7794 Kings College Ave Apt 519",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382160",
            "country_code": "US",
            "telephone_number": "901-268-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "DANIELLE",
        "middle_name": "ZASOSKI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.