Individual provider Active NPI

Brandon K Lorenz, O.D.

  • Optometrist
  • Saint Joseph, MO
National Provider Identifier
1174870422
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2012025341 Issued in MO
Practice address
1309 Village Dr
Saint Joseph, MO 64506-2457
Phone
(816) 279-2339
NPI assigned
Aug 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0002930 CO
Optometrist 152W00000X 2012025341 MO Primary

Addresses

Primary practice location

1309 Village Dr
Saint Joseph, MO 64506-2457

Mailing address

1309 Village Dr
Saint Joseph, MO 64506-2457
Phone (816) 279-2339

Other practice location 1

9499 Sheridan Blvd
Westminster, CO 80031-6532
Phone (303) 427-0872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20131010000676 MO Practitioner - Optometry 3678707478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Eyecare Specialties IncGroup PAC ID 1153371646, 15 clinicians

Practice addresses (Care Compare)

1309 Village Dr
Saint Joseph, MO 64506-2457
Phone (816) 279-2339

19045 E Valley View Pkwy
Independence, MO 64055-7030

Merit-based Incentive Payment System (MIPS)

Final score
86.94 of 100Reported as group
Quality
73.89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0002930COMDOptometrist
2012025341MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Eyecare Specialties Inc Optometrist CurrentSince Jul 15, 2013 Accepting new patients
Insight Eyecare Specialties Inc. Optometrist CurrentSince Jul 15, 2013 Accepting new patients
Insight Eyecare Specialties Inc Optometrist Past Accepting new patients

Locations

19045 E Valley View Pkwy
Ste A
Independence, MO 64055
Phone (816) 795-7777

1309 Village Dr
Saint Joseph, MO 64506
Phone (816) 233-5255

Organizations & group practices 3

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1174870422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-279-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-279-2339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9499 Sheridan Blvd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800316532",
            "country_code": "US",
            "telephone_number": "303-427-0872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "BRANDON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0002930",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012025341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.