Active NPI
Brent Optical Inc
- Customized Equipment (DME)
- Altoona, PA
National Provider Identifier
1144374265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 07105017
- Legal business name
- BRENT OPTICAL INC
- Practice address
- 312 Orchard Ave
Altoona, PA 16602-4066 - Phone
- (814) 944-7144
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathy J Dempsie
- Title
- President
- Phone
- (814) 944-7144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 07105017 | PA | Primary |
Addresses
Primary practice location
312 Orchard Ave
Altoona, PA 16602-4066
Mailing address
312 Orchard Ave
Altoona, PA 16602-4066
Phone (814) 944-7144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283248 | Other | PA | HIGHMARK |
| 393534 | Other | PA | NVA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Low Vision Rehabilitation Optometrist
- Altoona, PA
- NPI 1497728919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144374265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 ORCHARD AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024066",
"telephone_number": "814-944-7144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 ORCHARD AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024066",
"telephone_number": "814-944-7144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENT OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEMPSIE",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-944-7144",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "PA",
"license": "07105017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "283248",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "393534",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.