Individual provider Active NPI

Brianna Weber, OD

  • Optometrist
  • Shawnee, OK
National Provider Identifier
1326622036
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3155 Issued in OK
Practice address
100 E 45TH St
Shawnee, OK 74804-1439
Phone
(405) 275-7676
NPI assigned
May 9, 2021
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3155 OK Primary

Addresses

Primary practice location

100 E 45TH St
Shawnee, OK 74804-1439

Mailing address

100 E 45TH St
Shawnee, OK 74804-1439
Phone (405) 275-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210820000895 OK Practitioner - Optometry 2567867112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawnee Eye Associates, PLLCGroup PAC ID 9638492374, 4 clinicians
Tecumseh Eye Associates PLLCGroup PAC ID 9133359516, 3 clinicians

Practice addresses (Care Compare)

100 E 45TH St
Shawnee, OK 74804-1439
Phone (405) 275-7676

123 E Washington St
Tecumseh, OK 74873-3241
Phone (405) 598-6558

Merit-based Incentive Payment System (MIPS)

Final score
78.92 of 100Reported as group
Quality
57.84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3155OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Eye Associates, PLLC Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Tecumseh Eye Associates PLLC Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Marshall R Gleckler OD PLLC Optometrist PastSince May 16, 2021 Accepting new patients

Locations

100 E 45th St
Shawnee, OK 74804
Phone (405) 275-7676

123 E Washington St
Tecumseh, OK 74873
Phone 4055986558 ext. 101

Interoperability endpoints

  • Direct secure messaging: bweber@visionsourceshawnee.eyefinity-direct.com

Organizations & group practices 3

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": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1326622036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041439",
            "telephone_number": "405-275-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041439",
            "telephone_number": "405-275-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "BRIANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.