Brandon Douglas Rouse, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03483 Issued in MO

Practice address

1301 Cook St
Kennett, MO 63857-3259

Phone

(573) 888-2884

Fax

(575) 888-3799

NPI assigned

Aug 18, 2006

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

Other names 1

• Brandon Douglas Rouse Professional name

Medicare fee-for-service enrollment

Enrolled in MO, AR2 enrollments

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 2

Specialty

Optometry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care Center of Northeast Arkansas LLCGroup PAC ID 2860470374, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.7 of 100Reported as individual

Quality

97.39

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

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

• Vision Care Center of Northeast Arkansas LLC

  • Ophthalmology Physician
  • Jonesboro, AR
  • NPI 1447288097

  Optometrist

  Medicare reassignment Care Compare group NPD
• Rouse Vision Clinic,LLC

  • Optometrist
  • Kennett, MO
  • NPI 1437417847
  Medicare reassignment

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1023122017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "address_2": "1301 COOK ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "63857",
            "telephone_number": "573-888-2884",
            "fax_number": "575-888-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COOK ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573259",
            "telephone_number": "573-888-2884",
            "fax_number": "575-888-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "BRANDON",
        "middle_name": "DOUGLAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314803701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "ROUSE",
            "middle_name": "DOUGLAS",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Teresa Ann Rodriguez
• James Berry Rogers
• Chandra Roland
• Lisa A Rose, LPC
• Rouse Vision Clinic,LLC
• Marilyn Faye Rouse
• Zachary Shea Rousell
• Wilbert James Rowell
• Courtney Elyse Rushing
• Heather Marie Russom-Earls, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.