Brandon Nicholas Terry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003858A Issued in IN

Practice address

1202 N Lebanon St
Lebanon, IN 46052-1510

Phone

(765) 482-1420

Fax

(765) 482-1461

NPI assigned

Jul 3, 2014

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

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.99 of 100Reported as group

Quality

31.67

Improvement activities

40

Cost

78.58

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Midwest Eye Consultants, P.C.

  dba Cataract & Laser Institute

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1912960535
  Medicare reassignment Care Compare group NPD
• Midwest Eye Consultants, PC

  dba Cataract and Laser Institute Greenwood

  • Ophthalmology Physician
  • Greenwood, IN
  • NPI 1467133900

  Optometrist

  NPD
• Midwest Eye Consultants, PC

  dba Cataract and Laser FW - Wayne

  • Optometrist
  • Fort Wayne, IN
  • NPI 1548132715
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #35

  • Optometrist
  • Chesterton, IN
  • NPI 1023066784
  NPD (past)

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1093121659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 CROSSPOINT BLVD",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563354",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521510",
            "telephone_number": "765-482-1420",
            "fax_number": "765-482-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "BRANDON",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003858A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Taylor, REGISTERED NURSE
• Margaret Lacey Taylor, MSW
• Laura E Teeters, MS, LMHC
• Eric Templeton
• Susan Margaret Terrill, LPN, MDS
• Nimesh Govind Thakkar, PHARMD
• Ashleigh Tharp, DO
• The Morgan Elizabeth Community Transportation Corporation
• The Morgan Elizabeth Community Transportation Corporation
• Laura Elizabeth Thieme, MD

• Optometrist in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.