Danielle J Brenno-Watterud, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

590 Issued in ND

Practice address

1213 15TH Ave W
Williston, ND 58801-3800

Phone

(701) 577-3937

Fax

(701) 577-3938

NPI assigned

Oct 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Williston Basin Eyecare Associates PCGroup PAC ID 4183892995, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbrenno@willistonbasineyecare.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 and National Provider Directory roles.

• Williston Basin Eyecare Associates, P.C.

  • Optometrist
  • Williston, ND
  • NPI 1225323504

  ND, Optometrist

  Medicare reassignment Care Compare group NPD
• Brook McFarlin Chiropractic LLC

  • Chiropractor
  • Williston, ND
  • NPI 1861057432
  NPD (past)
• St Aloisius Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Harvey, ND
  • NPI 1639296007
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1205924636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013800",
            "telephone_number": "701-577-3937",
            "fax_number": "701-577-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013800",
            "telephone_number": "701-577-3937",
            "fax_number": "701-577-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNO-WATTERUD",
        "first_name": "DANIELLE",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60544",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alina Bradish
• Emilee T Brannan, RD, LRD
• Jordan Braun, DPT
• Cami S Bren, WHNP, FNP-C
• Tamrin Brenno-Fagerland, LSW
• Tammie Brock
• Deborah L Bronson, RN,BSN,CDE
• Brook McFarlin Chiropractic LLC
• William J Brunsman, MD
• Nicole Bryant

• All providers in Williston, ND
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.