Active NPI
Brian Andrew Faust, O.D.
- Optometrist
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003536A
- Practice address
- 220 N Ironwood Dr
South Bend, IN 46615 - Phone
- (574) 289-3937
- Fax
- (574) 280-7355
- NPI assigned
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003536A | IN | Primary |
Addresses
Primary practice location
220 N Ironwood Dr
South Bend, IN 46615
Mailing address
PO Box 549
835 N. Cass St.
Wabash, IN 46992-0549
Phone (260) 569-9550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201014610 | Medicaid | IN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110420000705 | IN | Practitioner - Optometry | 9739364548 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Eye Consultants PC
Practice addresses (Care Compare)
328 S Main St
Mishawaka, IN 46544-2115
Phone (574) 256-5606
Merit-based Incentive Payment System (MIPS)
- Final score
- 55.99 of 100
- Quality
- 31.67
- Improvement activities
- 40
- Cost
- 78.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003536A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Eye Consultants, PC | Optometrist | Current | Accepting new patients |
| Midwest Eye Consultants, P.C. | Current | Accepting new patients | |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
Locations
301 J St
Laporte, IN 46350
Phone (219) 326-9569
328 S Main St
Mishawaka, IN 46544
Phone (219) 256-5606
220 N Ironwood Dr
#42
South Bend, IN 46615
Phone (574) 289-3937
220 N Ironwood Dr
South Bend, IN 46615
Phone (574) 233-2626
17615 State Road 23
South Bend, IN 46635
Phone (574) 234-7600
Organizations & group practices 14
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.
-
- Optometrist
- South Bend, IN
- NPI 1780980516
-
- Ambulatory Surgical Clinic/Center
- Fort Wayne, IN
- NPI 1093778052
-
- Ophthalmology Physician
- Indianapolis, IN
- NPI 1275881765
-
- Optometrist
- Tipton, IN
- NPI 1366405714
-
- Ambulatory Surgical Clinic/Center
- Mishawaka, IN
- NPI 1467032862
-
- Optometrist
- Fort Wayne, IN
- NPI 1538558556
-
- Optometrist
- Fort Wayne, IN
- NPI 1649654526
-
- Ambulatory Surgical Clinic/Center
- Greenwood, IN
- NPI 1841984390
-
- Optometrist
- Granger, IN
- NPI 1861882797
-
- Optometrist
- Shipshewana, IN
- NPI 1952607780
-
- Ambulatory Surgical Clinic/Center
- Fort Wayne, IN
- NPI 1982576286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1144486168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 549",
"address_2": "835 N. CASS ST.",
"city": "WABASH",
"state": "IN",
"postal_code": "469920549",
"telephone_number": "260-569-9550",
"fax_number": "260-569-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N IRONWOOD DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46615",
"telephone_number": "574-289-3937",
"fax_number": "574-280-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "BRIAN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003536A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201014610",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.