Mark Edward Brachmanski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003105 Issued in GA

Practice address

800 Mount Vernon Highway NE, Suite 130
Atlanta, GA 30328

Phone

(404) 236-6747

NPI assigned

Sep 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Illinois College of Optometry at Chicago, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin-Cleetus LTDGroup PAC ID 2860634011, 3 clinicians

Gervais - Floyd LTDGroup PAC ID 7911147814, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Austin-Cleetus LTD

  dba Pearle Vision

  • Optometrist
  • Oakbrook Terrace, IL
  • NPI 1831232495
  Medicare reassignment Care Compare group NPD
• Gervais-Floyd, LTD

  dba Pearle Vision

  • Optometrist
  • Orland Park, IL
  • NPI 1154441756
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535760000000",
    "number": "1063994481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HIGHWAY NE, SUITE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HIGHWAY NE, SUITE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-236-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACHMANSKI",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-01",
        "last_updated": "2018-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunya Brabham
• Brace 352 and Associates (Precision Labs)
• Abbie Brace, PAAA
• Laura H Brachman, M.D.
• Philip Sigmund Brachman Jr., MD
• Amber Brackett
• Emily Elise Brackett, PT
• Bonnie G Brackin, CRNA
• Ellen S. Brackup, PH.D.
• Cara Ann Bradberry, PNP

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; 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.