Shanthy Sandrasekaramudaly Brown, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002168 Issued in PA

Practice address

6633 Germantown Ave
Unit a
Philadelphia, PA 19119-2253

Phone

(215) 422-3636

Fax

(215) 422-3748

NPI assigned

Nov 13, 2008

Last updated

Jan 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Pennsylvania College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

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.

• Brown Eye Care LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1770942070
  Medicare reassignment NPD Authorized official
• Oculist Co.

  dba Wynnewood Eye Care

  • Optometrist
  • Wynnewood, PA
  • NPI 1154115749
  NPD Authorized official
• Brighter Vision Eye Care, LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1700154622
  NPD (past)
• Wynnewood Eye Care

  • Optometrist
  • Wynnewood, PA
  • NPI 1851928675
  NPD (past)
• Cherokee Nation

  dba Cherokee Nation Public Health

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  NPD (past)
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Tahlequah, OK
  • NPI 1093722324
  NPD (past)

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1205080553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S CONESTOGA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432514",
            "telephone_number": "215-305-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 GERMANTOWN AVE",
            "address_2": "UNIT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192253",
            "telephone_number": "215-422-3636",
            "fax_number": "215-422-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANTHY",
        "middle_name": "SANDRASEKARAMUDALY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scot Andrew Brown, MD
• Sean Vincent Brown, MD
• Sederia Brown
• Shakira Denae Brown
• Shane Brown, PA
• Shirley Brown, PHD
• Sima Brown
• Spencer Jay Brown Jr.
• Stephanie Anne Brown
• Steven Jeffrey Brown, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.