Active NPI
Joseph Wallace Braun, O.D.
- Corneal and Contact Management Optometrist
- Spokane, WA
National Provider Identifier
1245365519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 1815
- Practice address
- 4750 N Division St Ste 126
Northtown Vision Clinic
Spokane, WA 99207-1406 - Phone
- (509) 482-0217
- Fax
- (509) 489-9197
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 1815 | WA | Primary |
Addresses
Primary practice location
4750 N Division St Ste 126
Northtown Vision Clinic
Spokane, WA 99207-1406
Mailing address
PO Box 30027
Spokane, WA 99223-3000
Phone (509) 482-0217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1815 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Lum OD PLLC | Past | Accepting new patients |
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.
-
- Optometrist
- Spokane, WA
- NPI 1851644397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245365519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30027",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992233000",
"telephone_number": "509-482-0217",
"fax_number": "509-489-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 N DIVISION ST STE 126",
"address_2": "NORTHTOWN VISION CLINIC",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071406",
"telephone_number": "509-482-0217",
"fax_number": "509-489-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "JOSEPH",
"middle_name": "WALLACE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "WA",
"license": "1815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.