Brandon M Homan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003770 Issued in PA

Practice address

400 State St
Baden, PA 15005-1737

Phone

(724) 869-1870

Fax

(724) 869-8113

NPI assigned

May 11, 2021

Last updated

May 11, 2021By the provider in NPPES

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 PA

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

Ohio State University - College of Optometry, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew J Deluca

  • Optometrist
  • Baden, PA
  • NPI 1417946468
  Medicare reassignment
• Family Vision Care East

  • Optometrist
  • Pittsburgh, PA
  • NPI 1659435972
  Medicare reassignment
• Matthew J. Deluca

  dba Family Vision Care

  • Optometrist
  • Cranberry TWP, PA
  • NPI 1336763101
  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1144804675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STATE ST",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150051737",
            "telephone_number": "724-869-1870",
            "fax_number": "724-869-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STATE ST",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150051737",
            "telephone_number": "724-869-1870",
            "fax_number": "724-869-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "BRANDON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giant Eagle Inc (Giant Eagle Pharmacy 0075)
• Layne Gregory Gonzalez, M.S., NCC
• Jeffery P Hein, M.D.
• Heritage Valley Medical Group, Inc. (HVMG Baden Area Healthcare)
• Casey K Hohman, PT DPT
• Leslie Gene Jantsch Waddell, MA LPC NCP CCDP DIPL
• Gerald Jeannett, M.ED
• Karla J Joyce
• Jennifer Marie Kamzelski, MSN, APRN, FNP-C
• Cristina Keller

• Optometrist in Baden, PA
• Providers in Baden, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.