Active NPI
Brooks Arthur Harris, O.D.
- Optometrist
- Ripley, TN
National Provider Identifier
1912978180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD0000001017
- Practice address
- 192 S Washington St
Ripley, TN 38063-1514 - Phone
- (731) 635-3026
- Fax
- (731) 635-0883
- NPI assigned
- Jan 27, 2006
- Last updated
- Dec 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD0000001017 | TN | Primary |
Addresses
Primary practice location
192 S Washington St
Ripley, TN 38063-1514
Mailing address
192 S Washington St
Ripley, TN 38063-1514
Phone (731) 635-3026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3595282 | Medicaid | TN |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120430000353 | TN | Practitioner - Optometry | 3173630647 | Practice locations: Ripley, TN |
| O20100930070948 | TN | DME Supplier - Physician - Optometrist | 3971623885 | Practice locations: Ripley, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
192 S Washington St
Ripley, TN 38063-1514
Phone (731) 635-3026
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1912978180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 S WASHINGTON ST",
"city": "RIPLEY",
"state": "TN",
"postal_code": "380631514",
"telephone_number": "731-635-3026",
"fax_number": "731-635-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 S WASHINGTON ST",
"city": "RIPLEY",
"state": "TN",
"postal_code": "380631514",
"telephone_number": "731-635-3026",
"fax_number": "731-635-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BROOKS",
"middle_name": "ARTHUR",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000001017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3595282",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ripley, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.