Individual provider Active NPI

Dahlia Haddad, O.D.

  • Optometrist
  • Goodlettsville, TN
National Provider Identifier
1962852608
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD3409 Issued in TN
Practice address
520 Rivergate Pkwy
Goodlettsville, TN 37072-2030
Phone
(615) 859-3937
Fax
(615) 859-3919
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA 2531 MD
Optometrist 152W00000X OD3409 TN Primary

Addresses

Primary practice location

520 Rivergate Pkwy
Goodlettsville, TN 37072-2030

Mailing address

520 Rivergate Pkwy
Goodlettsville, TN 37072-2030
Phone (615) 859-3937

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
I20171025000055 TN Practitioner - Optometry 6406122183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Eye Specialists PLLCGroup PAC ID 6800708504, 37 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 240
Nashville, TN 37207-2522
Phone (615) 782-7337

Merit-based Incentive Payment System (MIPS)

Final score
76.4 of 100Reported as group
Quality
76.44
Promoting interoperability
67
Improvement activities
40
Cost
72.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA 2531MDMDOptometrist
OD3409TNMDOptometrist
3409TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Specialists PLLC Optometrist CurrentSince Jan 3, 2022 Accepting new patients
Southeast Eye Specialists PLLC Optometrist Current Accepting new patients
Michael E. Green PastSince Oct 18, 2001 Accepting new patients

Locations

135 N Meadows Dr
Ste D
Athens, TN 37303
Phone 4235087337205

135 N Meadows Dr
#A
Athens, TN 37303
Phone (423) 453-5314

800 Weatherly Dr
Ste 100L
Clarksville, TN 37043
Phone (931) 553-2800

927 N James M Campbell Blvd
Ste 103
Columbia, TN 38401
Phone (931) 840-3501

854 Lone Oak Dr
Gallatin, TN 37066
Phone (615) 452-1602

854 Lone Oak Dr
Ste 120
Gallatin, TN 37066
Phone (615) 452-1602

404 N Castle Heights Ave
Ste A
Lebanon, TN 37087
Phone (615) 449-0541

810 Sparta St
Ste 1
McMinnville, TN 37110

5002 Crossings Cir
Ste 240
Mt Juliet, TN 37122
Phone (615) 553-4925

1602 W Northfield Blvd
Ste 504
Murfreesboro, TN 37129
Phone (615) 217-3321

3443 Dickerson Pike
Ste 240
Nashville, TN 37207
Phone (615) 782-7337

28 White Bridge Pike
Ste 208
Nashville, TN 37205
Phone (615) 327-2001

1801 N Washington St
Ste 500
Tullahoma, TN 37388
Phone 4235087337205

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dahlia.haddad@eyehealthpartners.direct.eyemdemr.com

Organizations & group practices 3

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962852608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PKWY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PKWY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "DAHLIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 2531",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD3409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.