Icem E Brewer, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2559 Issued in AR

Practice address

4201 N Shiloh Dr Ste 1235
Fayetteville, AR 72703-5303

Phone

(479) 444-8705

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focused Family Eye Care PLLCGroup PAC ID 1658634647, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Focused Family Eye Care, PLLC

  • Clinic/Center
  • Fayetteville, AR
  • NPI 1922515808
  Medicare reassignment Care Compare group
• Johnson Chiropractic Center, LLC

  • Chiropractor
  • Fayetteville, AR
  • NPI 1154811412
  NPD (past)
• Roberts-Philpott Eye Associates, PA

  • Optometrist
  • Siloam Springs, AR
  • NPI 1578688636

  Corneal and Contact Management

  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1316166697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 N HIDDEN CREEK DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046353",
            "telephone_number": "479-225-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N SHILOH DR STE 1235",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035303",
            "telephone_number": "479-444-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ICEM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AR",
            "license": "2559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christi Brennan, OTR
• Scott Brenner, DO
• Lexus Brettell
• Lukas Brettin, PTA
• Ashlea Veronica Brewer, NP
• Samantha Breyfogle, LPC, LMFT
• Brian W Buell Eye Care PA
• Stewart Bridger, PD
• Bridges Therapy Group, PLLC
• Ana Julia Bridges, PHD

• Corneal and Contact Management Optometrist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Corneal and Contact Management Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.