Individual provider Active NPI

Brian James Hale, O.D.

  • Optometrist
  • Signal Mountain, TN
National Provider Identifier
1942409883
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TN2768 Issued in 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
Last updated
Aug 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TN2768 TN Primary

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

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
I20071017000937 TN Practitioner - Optometry 7810083193 Practice locations: Signal Mountain, TN

Care Compare profile

Medicare Care Compare
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

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN2768TNMDOptometrist
2768TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1942409883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 TAFT HWY",
            "address_2": "SUITE 9",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773528",
            "telephone_number": "423-886-7252",
            "fax_number": "423-886-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 TAFT HWY",
            "address_2": "SUITE 9",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773528",
            "telephone_number": "423-886-7252",
            "fax_number": "423-886-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN2768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Mountain, TN

Sources for this page

Verify at the official NPI Registry.