Active NPI
Fabrice Brenot, O.D.
- Optometrist
- Nashua, NH
National Provider Identifier
1003858457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NH 0704
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3076155 | Medicaid | NH | |
| 30351916 | Medicaid | NH |
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
Enrollment records 1
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
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 100
- Quality
- 86.44
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH 0704 | NH | MD | Optometrist |
| 0704 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manchester Optometric, PA | Optometrist | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.