DALE HASTY
NPI 1245490630
Optometrist in Shelbyville, TN

Q: What is Dale Hasty's NPI number?

The NPI number for Dale Hasty is 1245490630. It was assigned to this organization in the NPPES registry on June 10, 2008.

Q: What is Dale Hasty's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Dale Hasty was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 10, 2008

605 N MAIN ST, SHELBYVILLE, TN 37160(931) 684-2020(931) 684-7000 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dale Hasty NPPES

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

DALE HASTY (NPI 1245490630) is a healthcare organization registered as an optometrist in Shelbyville, Tennessee and active in the NPI registry since June 2008. The organization lists Kenneth Dale Hasty, Owner, as its authorized official.

NPPES Registry Identity

NPI1245490630

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDALE HASTY

Location Address605 N MAIN STShelbyville, TN 37160-3210

Mailing Address605 N Main StShelbyville, TN 37160-3210 · (931) 684-2020 · Fax (931) 684-7000

Phone(931) 684-2020

Fax(931) 684-7000

Organization SubpartNo

Authorized OfficialKenneth Dale HastyOwner · (934) 684-2020

Enumeration DateJune 10, 2008

✔ NPI 1245490630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TN · ODT001018

Definition

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.

605 N MAIN ST, Shelbyville, TN 37160

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Other Identifiers 3

Other0075676TN · Bcbs

Medicare PIN3596423TN

Other0752740001TN · Palmetto

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Dale Hasty 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 Dale Hasty, which bills Medicare for the services this clinician delivers.

Clinician (1)

Laura Keith, OD

Optometry

NPI 1184335655

605 N MAIN ST
Shelbyville, TN 37160

(931) 684-2020

✔ 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 Dale Hasty's NPI number?

The NPI number for Dale Hasty is 1245490630. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Dale Hasty located?

Dale Hasty is located at 605 N Main St, Shelbyville, TN 37160. The listed phone number is (931) 684-2020.

What is Dale Hasty's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dale Hasty enrolled in Medicare?

Yes. Dale Hasty is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dale Hasty?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dale Hasty. 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 Dale Hasty was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.