DR. RICHARD I BREAZEALE (NPI# 1801892146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801892146 |
| Entity Type | Individual |
| Full Name | DR. RICHARD I BREAZEALE |
| Credential | M.D. |
| Practice Address |
1605 Williams Rd Ste 201 Hixson TN 37343-4934 |
| Mailing Address |
320 Prosperity Dr Knoxville TN 37923-4709 |
| Practice Telephone | 4237561002 |
| Practice Fax Number | 4237561004 |
| Mailing Telephone | 4237561002 |
| Mailing Fax Number | 4237561004 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
56089 | GA | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
31597 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009937405 | 05 | |
| GA | 000860318C | 05 | |
| TN | 3841514 | 05 | |
| GA | 000860318E | 05 |
| Street Address |
1605 WILLIAMS RD STE 201 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526946 | Jesse Steven Pollom | Dentist | 1605 Williams Rd, Hixson, TN 37343-4934 | 2020-07-27 |
| 1538545157 | Joshua A Mckinney | Dentist | 1605 Williams Rd, Hixson, TN 37343-4934 | 2015-08-05 |
| 1619298262 | Devon Ghodasra | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2010-06-17 |
| 1811139470 | Rohan Shah | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2009-03-29 |
| 1871627554 | Francis C Decroos | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619298262 | Devon Ghodasra | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2010-06-17 |
| 1811139470 | Rohan Shah | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2009-03-29 |
| 1871627554 | Francis C Decroos | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478996 | Howard Lee Cummings | Ophthalmology | 2412 N John B Dennis Hwy, Kingsport, TN 37660-4772 | 2005-06-22 |
| 1861495780 | Steve T Charles | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2005-05-24 |
| 1548760234 | Matt Katz, Md, PC | Ophthalmology | 342 22nd Ave N, Nashville, TN 37203-1844 | 2018-02-19 |
| 1134515042 | Adam Pflugrath | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2015-04-08 |
| 1992022800 | Stephen Michael Huddleston | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2010-05-01 |
| 1376644476 | Robert Keith Shuler Jr. | Ophthalmology | 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 | 2006-09-25 |
| 1205803285 | Cristoforo Larzo | Ophthalmology | 2412 N John B Dennis Hwy, Kingsport, TN 37660-4772 | 2006-03-08 |
| 1710983721 | James Howard Miller Jr. | Ophthalmology | 1124 E Weisgarber Rd, Ste 207, Knoxville, TN 37909-2686 | 2005-06-23 |
| 1427054436 | Stephen Lee Perkins | Ophthalmology | 1124 E Weisgarber Rd, Ste 207, Knoxville, TN 37909-2686 | 2005-06-23 |
| 1659377679 | David Allan Couch | Ophthalmology | 2412 N John B Dennis Hwy, Kingsport, TN 37660-4772 | 2005-06-23 |
| Find all providers with the same taxonomy | ||||
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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.