Individual provider Active NPI

Brett Alden Pexton, O.D.

  • Optometrist
  • Cheyenne, WY
National Provider Identifier
1215100466
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
322T Issued in WY
Practice address
4144 Laramie St
Cheyenne, WY 82001-1969
Phone
(307) 635-1073
Fax
(307) 635-1078
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2643 CO
Optometrist 152W00000X 322T WY Primary

Addresses

Primary practice location

4144 Laramie St
Cheyenne, WY 82001-1969

Mailing address

4144 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-1073

Other practice location 1

1621 Logan Ave
Cheyenne, WY 82001-5139
Phone (307) 635-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20080908000584 WY Practitioner - Optometry 0547336067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4144 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-1073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2643COMDOptometrist
322TWYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Vision Clinic, PC Optometrist CurrentSince Jun 4, 2008 Accepting new patients

Locations

1621 Logan Ave
Cheyenne, WY 82001
Phone (307) 535-1073

4144 Laramie St
Cheyenne, WY 82001
Phone (307) 635-1073

Organizations & group practices 1

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215100466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 LARAMIE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011969",
            "telephone_number": "307-635-1073",
            "fax_number": "307-635-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LARAMIE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011969",
            "telephone_number": "307-635-1073",
            "fax_number": "307-635-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 Logan Ave",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015139",
            "country_code": "US",
            "telephone_number": "307-635-1073",
            "fax_number": "307-635-1078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEXTON",
        "first_name": "BRETT",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2643",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "322T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.