Individual provider Active NPI

Brian J Tienor, MD

  • Ophthalmology Physician
  • Stillwater, MN
National Provider Identifier
1285921924
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57335 Issued in MN
Practice address
2950 Curve Crest Blvd W
Stillwater, MN 55082-5085
Phone
(651) 275-3050
Fax
(651) 275-3032
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 61500-20 WI
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 61500-20 WI
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 57335 MN
Ophthalmology Physician 207W00000X 57335 MN Primary

Addresses

Primary practice location

2950 Curve Crest Blvd W
Stillwater, MN 55082-5085

Mailing address

1719 Tower Dr W
Suite 100
Stillwater, MN 55082-7512
Phone (651) 275-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131213000754 WI Practitioner - Ophthalmology 2567631872 Reassigns benefits to 1 organization
I20131216000924 MN Practitioner - Ophthalmology 2567631872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Eye Care LTDGroup PAC ID 4486552437, 19 clinicians

Practice addresses (Care Compare)

2950 Curve Crest Blvd W
Stillwater, MN 55082-5085
Phone (651) 275-3000

525 N Knowles Ave
Suite 200
New Richmond, WI 54017-1219
Phone (651) 275-3000

Merit-based Incentive Payment System (MIPS)

Final score
85.99 of 100Reported as individual
Quality
85.99
Promoting interoperability
92
Improvement activities
40
Cost
73.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57335MNMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care LTD Ophthalmology CurrentSince Dec 1, 2013 Accepting new patients
Associated Eye Care Optical LLC Past Accepting new patients

Locations

2380 Rosemary Way
Lino Lakes, MN 55038

1719 Tower Dr W
#100
Stillwater, MN 55082
Phone (651) 275-3050

2950 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 275-3050

237 Radio Dr
Ste 100
Woodbury, MN 55125

2651 Hillcrest Dr
Ste 104
Hudson, WI 54016

2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648

525 N Knowles Ave
#200
New Richmond, WI 54017
Phone (715) 483-1785

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: brian.tienormd.p1@direct.associated-eyecare.nextgenshare.com
  • Direct secure messaging: brian.tienormd.p2@direct.associated-eyecare.nextgenshare.com
  • Direct secure messaging: brian.tienormd.p3@direct.associated-eyecare.nextgenshare.com

Organizations & group practices 2

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1285921924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 TOWER DR W",
            "address_2": "SUITE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827512",
            "telephone_number": "651-275-3050",
            "fax_number": "651-275-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825085",
            "telephone_number": "651-275-3050",
            "fax_number": "651-275-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIENOR",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "61500-20",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "WI",
            "license": "61500-20",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MN",
            "license": "57335",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "57335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.