DR. BRANDI LEA HATHORNE (NPI# 1376772319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376772319 |
| Entity Type | Individual |
| Full Name | DR. BRANDI LEA HATHORNE |
| Other Name | BRANDI LEA YOUNG |
| Credential | O.D. |
| Practice Address |
9785 Jefferson Davis Hwy Fredericksburg VA 22407 |
| Mailing Address |
9785 Jefferson Davis Hwy Fredericksburg VA 22407-9406 |
| Practice Telephone | 5408911290 |
| Practice Fax Number | 5408344289 |
| Mailing Telephone | 5408911290 |
| Mailing Fax Number | 5408344289 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | TA2170 | MD | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 0618001844 | VA | Eye and Vision Services Providers |
| Street Address |
9785 JEFFERSON DAVIS HWY |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841231883 | Virginia Cvs Pharmacy LLC | Pharmacy | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2006-06-09 |
| 1952791550 | Emilie Anne-marie Bouchard | Pharmacy Technician | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2015-02-03 |
| 1710377312 | Crystal Lyne Barnett | Pharmacy Technician | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2015-02-03 |
| 1073920344 | Roland Newton | Pharmacist | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2014-07-17 |
| 1922432509 | Christina Phifer | Pharmacist | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2013-08-30 |
| 1619254570 | Lynn Christine Iaccarino | Pharmacist | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2011-11-07 |
| 1912291105 | Robert Clinton Boyer | Pharmacist | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2011-06-05 |
| 1699843623 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| 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 |
|---|---|---|---|---|
| 1679121800 | George Z Ishak | Optometrist | 1871 Carl D Silver Pkwy Ste 1113, Fredericksburg, VA 22401-4969 | 2019-08-30 |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1710401195 | Nadeen Al-ghandour | Optometrist | 5426 Jefferson Davis Hwy Ste 104, Fredericksburg, VA 22407-2616 | 2017-07-27 |
| 1992226336 | Lauren Rabon | Optometrist | 2101 Carl D Silver Pkwy, Fredericksburg, VA 22401-5085 | 2017-07-06 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| 1164890901 | Myeyedr Optometry of Virginia, Pplc | Optometrist | 5426 Jefferson Davis Hwy, Ste 104, Fredericksburg, VA 22407-2616 | 2015-09-10 |
| 1952619066 | Bp Eye Care Centers | Optometrist | 1021 S State Highway 16, Fredericksburg, TX 78624-4472 | 2010-09-23 |
| 1184935009 | Peter Edwin Degraziano | Optometrist | 3102 Plank Rd Ste 600, Fredericksburg, VA 22407-4954 | 2010-06-24 |
| 1013145143 | Carissa Lee Novotny | Optometrist | 625 Warrenton Rd Ste 105, Fredericksburg, VA 22406-7000 | 2009-06-26 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
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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.