Nicole Marie Kosciuk Brauer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010613 Issued in IL

Practice address

820 S Damen Ave
Chicago, IL 60612-3728

Phone

(312) 569-7510

NPI assigned

Aug 16, 2011

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 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Southern College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brauer Eye PLLCGroup PAC ID 1759738065, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Brauer Eye PLLC

  • Optometrist
  • Westmont, IL
  • NPI 1720867237
  Medicare reassignment Care Compare group NPD
• Illinois College of Optometry

  • Optometrist
  • Chicago, IL
  • NPI 1285612390
  Medicare reassignment NPD
• Premier Eye Care & Surgery LTD

  • Ophthalmology Physician
  • Buffalo Grove, IL
  • NPI 1306905005
  Medicare reassignment NPD
• Eyecare Center of Dupage, LTD.

  • Optometrist
  • Westmont, IL
  • NPI 1578731246
  NPD
• Koziol-Thoms Eye Associates S.C.

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1659387017
  NPD (past)
• Vision Source, P.C.

  • Optometrist
  • Orland Park, IL
  • NPI 1518151828
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1225317696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N CARLYLE LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045782",
            "telephone_number": "847-707-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123728",
            "telephone_number": "312-569-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3241 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606164201",
            "country_code": "US",
            "telephone_number": "312-949-7751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "NICOLE",
        "middle_name": "MARIE KOSCIUK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010613",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret R Bratcher, RD, LDN
• Naeva Elana Groenewold Bratina, MD
• Caroline Rose Lavelock Bratney, PHD
• Andrew James Brauer, O.D.
• Lindsay Brauer, PH.D.
• Scott Brauer, RN
• Braun Drugs, Inc.
• Braun Pharma, LLC
• Aaron Gregory Braun, D.O.
• Caleb Braun

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.