Individual provider Active NPI

Brianna D Niehoff, OD

  • Optometrist
  • Connersville, IN
National Provider Identifier
1154981850
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004167A Issued in IN
Practice address
2045 Virginia Ave
Connersville, IN 47331-2921
Phone
(765) 825-6000
Fax
(765) 825-3075
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004167A IN Primary

Addresses

Primary practice location

2045 Virginia Ave
Connersville, IN 47331-2921

Mailing address

2045 Virginia Ave
Connersville, IN 47331-2921
Phone (765) 825-6000

Other practice location 1

1900 Chester Blvd
Richmond, IN 47374-1213
Phone (765) 962-2020

Other identifiers 1

IdentifierTypeStateIssuer
300028108MedicaidIN

Other names 1

  • Brianna D Keener Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703002617 IN Practitioner - Optometry 3375878879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitewater Eye Centers LLCGroup PAC ID 6608914072, 13 clinicians

Practice addresses (Care Compare)

2045 Virginia Ave
Connersville, IN 47331-2921
Phone (765) 825-6000

Merit-based Incentive Payment System (MIPS)

Final score
83.19 of 100Reported as group
Quality
96.18
Improvement activities
40
Cost
49.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004167AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitewater Eye Centers LLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Whitewater Eye Centers LLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Whitewater Eye Centers LLC Optometrist Past Accepting new patients
Whitewater Eye Centers LLC Optometrist Past Accepting new patients
Whitewater Eye Centers LLC Optometrist Past Accepting new patients
Whitewater Eye Centers LLC Optometrist Past Accepting new patients

Locations

1088 State Road 229
Batesville, IN 47006
Phone (812) 933-1858

2045 Virginia Ave
Connersville, IN 47331
Phone (765) 825-0660

955 N Michigan Ave
Ste 2
Greensburg, IN 47240
Phone (812) 222-2020

955 N Michigan Ave
Greensburg, IN 47240
Phone (812) 663-5533

1900 Chester Blvd
Richmond, IN 47374
Phone (765) 962-2020

6050 State Route 571
Greenville, OH 45331
Phone (937) 547-6050

Interoperability endpoints

  • Direct secure messaging: bniehoff@whitewater.intellechartdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1154981850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 VIRGINIA AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312921",
            "telephone_number": "765-825-6000",
            "fax_number": "765-825-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 VIRGINIA AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312921",
            "telephone_number": "765-825-6000",
            "fax_number": "765-825-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Chester Blvd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741213",
            "country_code": "US",
            "telephone_number": "765-962-2020",
            "fax_number": "765-966-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEHOFF",
        "first_name": "BRIANNA",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004167A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028108",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "KEENER",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.