Brian James Hale, O.D.
Individual provider Active NPI Optometrist · Signal Mountain, TN
NPI 1942409883 · NPPES record last updated Aug 16, 2011
Key facts
- NPI
- 1942409883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TN2768 (TN)
- Practice address
- 1807 Taft Hwy
Suite 9
Signal Mountain, TN 37377-3528 - Phone
- (423) 886-7252
- Fax
- (423) 886-9551
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1807 Taft Hwy
Signal Mountain, TN 37377-3530
Phone (423) 886-7252
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 71 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071017000937 | TN | Practitioner - Optometry | 7810083193 | Practice locations: Signal Mountain, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN2768 | TN | MD | Optometrist |
| 2768 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TN2768 | TN | Yes |
Addresses
Primary practice location
1807 Taft Hwy
Suite 9
Signal Mountain, TN 37377-3528
Mailing address
1807 Taft Hwy
Suite 9
Signal Mountain, TN 37377-3528
Phone (423) 886-7252
Other providers in Signal Mountain, TN
- Dalton Rielly Grayson
- Margaret H. Greene
- Kaitlyn Elizabeth Louise Greer
- Melissa Leeann Greywitt
- Rachna Gupta
- Meredith Hamilton
- Ali Katherine Hansford-McKinney
- Elaine W Hatch
- Tricia Henderson
- Terry F Holmes
All providers in Signal Mountain, TN · Optometrist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.