Jeannine M Brake-Norder, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003751 Issued in MI

Practice address

123 Lansing Street
Charlotte, MI 48813

Phone

(517) 543-2020

Fax

(517) 543-0311

NPI assigned

Jul 3, 2006

Last updated

Jun 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of Charlotte PLLCGroup PAC ID 0143327841, 4 clinicians

Aeg Michigan Professional LLCGroup PAC ID 7113395864, 23 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drbrake@ecac2020.eyefinity-direct.com

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.

• Aeg Michigan Professional LLC

  • Optometrist
  • Chesaning, MI
  • NPI 1053032912
  Medicare reassignment Care Compare group NPD
• Eye Care Associates of Charlotte PLLC

  • Optometrist
  • Charlotte, MI
  • NPI 1154481331
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1194754879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LANSING STREET",
            "address_2": "EYE CARE ASSOCIATES OF CHARLOTTE PLLC",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "48813",
            "telephone_number": "517-543-2020",
            "fax_number": "517-543-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LANSING STREET",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "48813",
            "telephone_number": "517-543-2020",
            "fax_number": "517-543-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKE-NORDER",
        "first_name": "JEANNINE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410029431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "JB003751",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP OF MID MICHIGAN",
            "identifier": "2200102",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chemani Baxter, DDS
• Lauren Beers, DPT
• Nikole Bethea, LLP
• Sara Lynne Blasius
• Roselinde Alaine Boyne, MSN, APRN, FNP-C
• Catherine Brandau, F.N.P
• Madeline Elise Brcic, M.A., CCC-SLP
• Lina Breland, LLMSW
• Amber Brissette, NP
• Jacob Andrew Brown, PT, DPT

• Optometrist in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.