Brett T Dawson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2005015548 Issued in MO

Practice address

4741 S Cochise Dr
Independence, MO 64055-6974

Phone

(816) 478-1230

Fax

(816) 478-4413

NPI assigned

Aug 23, 2005

Last updated

Dec 6, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care LLCGroup PAC ID 4385544600, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• IA HMO C-SNP
• IA HMO

Interoperability endpoints

• Direct secure messaging: bdawson@direct.dvc.nextgenshare.com

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.

• Eye Care, LLC

  dba Discover Vision Centers

  • Ophthalmology Physician
  • Harrisonville, MO
  • NPI 1609066034

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Care LLC

  dba Discover Vision Centers

  • Ophthalmology Physician
  • Independence, MO
  • NPI 1750374567

  Optometrist

  NPD
• Eye Care, LLC

  dba Discover Vision Centers

  • Optometrist
  • Raymore, MO
  • NPI 1023597127
  NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1023001302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE",
            "address_2": "SUITE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557015",
            "telephone_number": "816-478-1230",
            "fax_number": "816-478-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 S COCHISE DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556974",
            "telephone_number": "816-478-1230",
            "fax_number": "816-478-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "BRETT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005015548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00232745",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marquita Davis
• Nicholas Davis, DPT
• Regina Marie Davis, CRNA, APN, MSN
• Sarah Davis
• Amelia Dawdy
• Tanya E Minkevich De Visser, RPH
• Amber Dealy, PLPC
• Kenneth Martin Deblock, LPC
• Whitney Decker, APRN
• Dedicated Missouri Holding, LLC (Dedicated Senior Medical Center Independence)

• Optometrist in Independence, MO
• Providers in Independence, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.