Kayla Brenden, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

030.0121007 Issued in VT

Practice address

91 Main St
Middlebury, VT 05753-1335

Phone

(801) 388-2811

NPI assigned

May 24, 2016

Last updated

May 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middlebury Eye Associates IncGroup PAC ID 7517030364, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middlebury Eye Associates Inc

  • Optometrist
  • Middlebury, VT
  • NPI 1700971934
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1003264631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531335",
            "telephone_number": "801-388-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531335",
            "telephone_number": "801-388-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDEN",
        "first_name": "KAYLA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0121007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Martin Bowen, DMD MD MPH
• Philip B. Bowman, MA
• Mary Ann Dattilo Boyd, LICSW
• Johana Kashiwa Brakeley, M.D.
• Willis Breen, RPH
• Mary Louise Brevda, MA
• Angela Marie Brisson, FNP
• Elise Brokaw, LICSW
• Amy Melissa Brown
• Jodi Alana Brown, D.O.

• Optometrist in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.