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SOUTHEAST VISION REHABILITATION, PLLC
NPI 1104262773
Optometrist - Low Vision Rehabilitation in Hixson, TN

Active since May 22, 2013
1043 EXECUTIVE DR, SUITE 102, HIXSON, TN 37343(423) 321-8233(423) 321-8325 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southeast Vision Rehabilitation, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST VISION REHABILITATION, PLLC (NPI 1104262773) is a healthcare organization registered as a low vision rehabilitation in Hixson, Tennessee and active in the NPI registry since May 2013. The organization lists Heather Mcbryar, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1104262773
Entity TypeOrganization
Primary Taxonomy152WL0500X
Legal Business NameSOUTHEAST VISION REHABILITATION, PLLC
Location Address1043 EXECUTIVE DR, SUITE 102Hixson, TN 37343-3997
Mailing Address1043 Executive Dr, Suite 102Hixson, TN 37343-3997 · (423) 321-8233 · Fax (423) 321-8325
Phone(423) 321-8233
Fax(423) 321-8325
Organization SubpartNo
Authorized OfficialHeather McbryarOwner/optometrist · (423) 321-8233
Enumeration DateMay 22, 2013
✔ NPI 1104262773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
Also ListedOptometristTaxonomy 152W00000X
1043 EXECUTIVE DR, Hixson, TN 37343
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Vision Rehabilitation, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Vision Rehabilitation, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Heather Mcbryar, O.D.
Optometry
NPI 1275563512
1043 EXECUTIVE DR SUITE 102
Hixson, TN 37343
(423) 321-8233
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Vision Rehabilitation, PLLC's NPI number?

The NPI number for Southeast Vision Rehabilitation, PLLC is 1104262773. It was assigned to this organization in the NPPES registry on May 22, 2013.

Where is Southeast Vision Rehabilitation, PLLC located?

Southeast Vision Rehabilitation, PLLC is located at 1043 Executive Dr Suite 102, Hixson, TN 37343. The listed phone number is (423) 321-8233.

What is Southeast Vision Rehabilitation, PLLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is Southeast Vision Rehabilitation, PLLC enrolled in Medicare?

Yes. Southeast Vision Rehabilitation, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Vision Rehabilitation, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Southeast Vision Rehabilitation, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast Vision Rehabilitation, PLLC was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.