Individual provider Active NPI

Fabrice Brenot, O.D.

  • Optometrist
  • Nashua, NH
National Provider Identifier
1003858457
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NH 0704 Issued in NH
Practice address
5 Coliseum Ave Ste 101
Nashua, NH 03063-3292
Phone
(603) 882-9800
Fax
(603) 882-0556
NPI assigned
Jun 11, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NH 0704 NH Primary

Addresses

Primary practice location

5 Coliseum Ave Ste 101
Nashua, NH 03063-3292

Mailing address

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

Other identifiers 2

IdentifierTypeStateIssuer
3076155MedicaidNH
30351916MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20060307000649 NH Practitioner - Optometry 3173530714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manchester Optometric, PAGroup PAC ID 1052498839, 6 clinicians

Practice addresses (Care Compare)

779 S Main St
A
Manchester, NH 03102-5143
Phone (603) 668-2010

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
86.44
Promoting interoperability
100
Improvement activities
40
Cost
76.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NH 0704NHMDOptometrist
0704NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Optometric, PA Optometrist CurrentSince Jul 31, 2025 Accepting new patients

Locations

779 S Main St
Manchester, NH 03102
Phone (603) 668-2010

779 S Main St
#A
Manchester, NH 03102
Phone (603) 668-2010

Interoperability endpoints

  • Direct secure messaging: fbrenot@nashuaeye.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1003858457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HITCHCOCK WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044125",
            "telephone_number": "603-695-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633292",
            "telephone_number": "603-882-9800",
            "fax_number": "603-882-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENOT",
        "first_name": "FABRICE",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH 0704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076155",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30351916",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.