Individual provider Active NPI

Leanna Bronni, ABOC

  • Optician
  • Brownstown, MI
National Provider Identifier
1043405871
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
24452 Charles Dr
Brownstown, MI 48183-2589
Phone
(734) 789-8255
Fax
(734) 789-8257
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

24452 Charles Dr
Brownstown, MI 48183-2589

Mailing address

24452 Charles Dr
Brownstown, MI 48183-2589
Phone (734) 789-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1043405871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24452 CHARLES DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481832589",
            "telephone_number": "734-789-8255",
            "fax_number": "734-789-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24452 CHARLES DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481832589",
            "telephone_number": "734-789-8255",
            "fax_number": "734-789-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONNI",
        "first_name": "LEANNA",
        "credential": "ABOC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.