NPIMap

Individual provider Active NPI

Todd Brittain, D.O.

  • Ophthalmology Physician
  • Hermantown, MN
National Provider Identifier
1073876397
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
65808 Issued in MN
Practice address
4413 Air Base Rd
Hermantown, MN 55811-1847
Phone
(218) 720-3553
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

Medicare Care Compare profile

Specialty
Ophthalmology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relf Eyecare Specialists PA (5 clinicians)

Practice addresses (Care Compare)

4413 Air Base Rd
Hermantown, MN 55811-1847
Phone (218) 720-3553

Hospital & facility affiliations

  • St Lukes Hospital Hospital · Duluth, MN · CCN 240047

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery117
Removal or shaving of skin growth1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190716001439 MN Practitioner - Ophthalmology 6305153495 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101019815MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relf Eyecare Specialists PA Ophthalmology Current
since Jul 31, 2019		 Accepting new patients

Locations

4413 Air Base Rd
Hermantown, MN 55811
Phone (218) 720-3553

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5101019815 MI
Ophthalmology Physician 207W00000X 65808 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

4413 Air Base Rd
Hermantown, MN 55811-1847

Mailing address

4413 Air Base Rd
Hermantown, MN 55811-1847
Phone (218) 720-3553

Other practice location 1

E6112 E Bluffview Rd
Ironwood, MI 49938-9367
Phone (906) 932-1436

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2019.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1073876397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 AIR BASE RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111847",
            "telephone_number": "218-720-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 AIR BASE RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111847",
            "telephone_number": "218-720-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "E6112 E Bluffview Rd",
            "address_purpose": "LOCATION",
            "city": "Ironwood",
            "state": "MI",
            "postal_code": "499389367",
            "country_code": "US",
            "telephone_number": "906-932-1436",
            "fax_number": "906-932-0644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRITTAIN",
        "first_name": "TODD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101019815",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "65808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermantown, MN

Sources for this page

Verify at the official NPI Registry.