Individual provider Active NPI

Daniel Brunenavs, O.D.

  • Optometrist
  • Dunkirk, NY
National Provider Identifier
1245341015
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T006135 Issued in NY
Practice address
55 E 4TH St
Dunkirk, NY 14048-2225
Phone
(716) 366-4383
Fax
(716) 366-8715
NPI assigned
Aug 31, 2006
Last updated
Jul 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T006135 NY Primary

Addresses

Primary practice location

55 E 4TH St
Dunkirk, NY 14048-2225

Mailing address

55 E 4TH St
Dunkirk, NY 14048-2225
Phone (716) 366-4383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20061221000124 NY Practitioner - Optometry 9436158417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

73 E 4TH St
Dunkirk, NY 14048-2225
Phone (716) 366-4383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T006135NYMDOptometrist
006135NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Brunenavs OD PLLC Optometrist CurrentSince Sep 17, 2012 Accepting new patients
Community Eye Care Specialists, P.C. Optometrist PastSince Mar 15, 2001 Accepting new patients
Community Eye Care Specialists P C Past Accepting new patients

Locations

55 E 4th St
Dunkirk, NY 14048
Phone (716) 366-4383

73 E 4th St
Dunkirk, NY 14048
Phone (716) 366-4383

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1245341015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 4TH ST",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482225",
            "telephone_number": "716-366-4383",
            "fax_number": "716-366-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 4TH ST",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482225",
            "telephone_number": "716-366-4383",
            "fax_number": "716-366-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNENAVS",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

Verify at the official NPI Registry.