Individual provider Active NPI

Taylor Nicole Hart, O.D.

  • Optometrist
  • Kingsport, TN
National Provider Identifier
1982311130
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3875 Issued in TN
Practice address
4260 Fort Henry Dr Ste 16
Kingsport, TN 37663-2248
Phone
(423) 246-6317
Fax
(423) 239-9602
NPI assigned
Oct 27, 2022
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003188 VA
Optometrist 152W00000X 3875 TN Primary

Addresses

Primary practice location

4260 Fort Henry Dr Ste 16
Kingsport, TN 37663-2248

Mailing address

4260 Fort Henry Dr Ste 16
Kingsport, TN 37663-2248
Phone (423) 246-6317

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
I20240621003115 TN Practitioner - Optometry 6103294087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

4260 Fort Henry Dr
Suite 16
Kingsport, TN 37663-2248
Phone (423) 246-6317

Merit-based Incentive Payment System (MIPS)

Final score
72.65 of 100Reported as group
Quality
45.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince May 30, 2024 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince May 30, 2024 Accepting new patients

Locations

4260 Fort Henry Dr
Ste 16
Kingsport, TN 37663
Phone (423) 246-6317

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1982311130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 FORT HENRY DR STE 16",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632248",
            "telephone_number": "423-246-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 FORT HENRY DR STE 16",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632248",
            "telephone_number": "423-246-6317",
            "fax_number": "423-239-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003188",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.