Jeffrey John Brewer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1254 Issued in NE

Practice address

17520 Wright St Ste 105
Omaha, NE 68130-4657

Phone

(402) 614-3200

Fax

(402) 614-7070

NPI assigned

Jul 8, 2006

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Indiana University - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Eyecare, LLCGroup PAC ID 2466459524, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Legacy Eyecare, LLC

  • Optometrist
  • Omaha, NE
  • NPI 1790718328
  Medicare reassignment Care Compare group NPD Authorized official
• Essential Family Medicine of Omaha, LLC

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1407225477
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1346273976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16949 LAKESIDE HILLS PLZ",
            "address_2": "STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302433",
            "telephone_number": "402-614-3200",
            "fax_number": "402-614-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 WRIGHT ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304657",
            "telephone_number": "402-614-3200",
            "fax_number": "402-614-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1254",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha Brewer
• Breanna Brewer
• Camille D Brewer, APRN
• Erica Brewer
• Gwendolyn Faye Brewer
• Jordyn Brewer
• Kaleigh Michele Brewer
• Kristal Lavell Brewer
• Markeeta Chavon Brewer
• Markira Brewer

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.