Individual provider Active NPI

Dustin Edward Brown, O.D.

  • Optometrist
  • State College, PA
National Provider Identifier
1245681881
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003154 Issued in PA
Practice address
428 Windmere Dr
State College, PA 16801-7644
Phone
(814) 234-2015
Fax
(814) 238-5300
NPI assigned
Jun 24, 2016
Last updated
Jun 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003154 PA Primary

Addresses

Primary practice location

428 Windmere Dr
State College, PA 16801-7644

Mailing address

428 Windmere Dr
State College, PA 16801-7644
Phone (814) 234-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160802002789 PA Practitioner - Optometry 3678867439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nittany Eye Associates LTDGroup PAC ID 4688740855, 11 clinicians

Practice addresses (Care Compare)

428 Windmere Dr
Suite 100
State College, PA 16801-7644
Phone (814) 234-2015

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as individual
Quality
78.42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nittany Eye Associates LTD Optometrist CurrentSince Jul 11, 2016 Accepting new patients

Locations

947 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7751

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

428 Windmere Dr
State College, PA 16801
Phone (814) 231-1502

428 Windmere Dr
Ste 100
State College, PA 16801
Phone (814) 234-2015

154 Hospital Dr
Ste 6
Tyrone, PA 16686
Phone (814) 684-5306

Interoperability endpoints

  • Direct secure messaging: dustin.brown@direct.revolutionehr.com

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, 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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1245681881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 WINDMERE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017644",
            "telephone_number": "814-234-2015",
            "fax_number": "814-238-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WINDMERE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017644",
            "telephone_number": "814-234-2015",
            "fax_number": "814-238-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DUSTIN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.