BRETT DAVID MCDONOUGH (NPI# 1063504108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063504108 |
| Entity Type | Individual |
| Full Name | BRETT DAVID MCDONOUGH |
| Credential | OD |
| Practice Address |
2020 Gunbarrel Road Suite 100e Chattanooga TN 34742-2663 |
| Mailing Address |
Po Box 21821 Chattanooga TN 37424-0821 |
| Practice Telephone | 4238999125 |
| Practice Fax Number | 4238999030 |
| Mailing Telephone | 4238999125 |
| Mailing Fax Number | 4238999030 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODT1825 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3941806 | 05 | |
| PHP | 10025073 | 01 | |
| BCBS | 4035668 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497893424 | Brett Russell Mcdonough | Chiropractor | 1444 Nw 124th Ct, Clive, IA 50325-8150 | 2007-02-02 |
| Street Address |
2020 GUNBARREL ROAD SUITE 100E |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 34742-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703392 | Rachel Lewis | Pharmacist | 2020 Gunbarrel Road, Chattanooga, TN 37421 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619258530 | Ersan Altun | Radiology | Acibadem Kozyatagi Hastanesi, Kozyatagi Kadikoy, Istanbul, ISTANBUL 34742 | 2011-09-06 |
| 1316117203 | Natalie Malave | Counselor | 20100 Lake Marion Dr, Kissimmee, FL 34742 | 2008-03-06 |
| 1528544004 | Alicia Branford | Peer Specialist | 1415 W Oak St, Kissimmee, FL 34742-7001 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538319 | The Pelvic Method Pllc | Physical Therapist | 852 Mccallie Ave, Chattanooga, TN 37403-2600 | 2020-11-04 |
| 1407457765 | Kaleisha Danyelle Dunbar | Private Vehicle | 8143 Iris Rd, Chattanooga, TN 37421-4276 | 2020-11-03 |
| 1265032924 | Staccato LLC | In Home Supportive Care | 122 Lee Parkway Dr Ste 402, Chattanooga, TN 37421-0813 | 2020-10-30 |
| 1316547474 | United Medical Lab LLC | Clinical Medical Laboratory | 3201 Easton Ave, Chattanooga, TN 37415-4715 | 2020-10-28 |
| 1659971067 | Mary E Kaylor | Registered Nurse | 9446 E Brainerd Rd, Chattanooga, TN 37421-3404 | 2020-10-27 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1679172787 | Shelli M Hancock | Registered Nurse | 8928 Fuller Rd, Chattanooga, TN 37421-4437 | 2020-10-20 |
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1992303457 | Winnie Warun Kiri | Nurse Practitioner | 4715 Bonny Oaks Dr Apt 308, Chattanooga, TN 37416-3825 | 2020-10-15 |
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| Find all providers in CHATTANOOGA | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585130 | Caroline Elizabeth Vollberg | Optometrist | 7268 Jarnigan Rd Ste 200, Chattanooga, TN 37421-3097 | 2020-07-21 |
| 1477082287 | Chattanooga Eye Care, LLC | Optometrist | 1201 Market St Ste B, Chattanooga, TN 37402-2714 | 2017-06-06 |
| 1326442559 | Brooke Millison Lane David | Optometrist | 1208 Pointe Centre Dr Ste 100, Chattanooga, TN 37421-3989 | 2014-10-17 |
| 1891199337 | Anne Strong | Optometrist | 2100 Hamilton Place Blvd Ste 167, Chattanooga, TN 37421-6057 | 2014-10-13 |
| 1841621422 | Matthew C Bohrman Od LLC | Optometrist | 309 N Market St Ste A, Chattanooga, TN 37405-3908 | 2013-12-06 |
| 1336432251 | Idoc Holdings LLC | Optometrist | 2004 Gunbarrel Rd, C/o Eye Glass World, Chattanooga, TN 37421-2605 | 2011-05-25 |
| 1578887485 | Leslie Draper Od PC | Optometrist | 1201 Market St, Ste B, Chattanooga, TN 37402-2714 | 2010-03-22 |
| 1730388042 | Lett Eye Care, Pllc | Optometrist | 5626 Brainerd Rd, Chattanooga, TN 37411-5310 | 2007-07-16 |
| 1801014840 | Charles A Rosenthal | Optometrist | 2040 Hamilton Place Blvd Ste 400, Chattanooga, TN 37421 | 2007-04-23 |
| 1821125485 | Mark R. Kapperman, Od PC | Optometrist | 1720 Gunbarrel Rd Ste 100, Chattanooga, TN 37421-3192 | 2007-02-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 34742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.