Individual provider Active NPI

Breanna K Hoffmann, O.D.

  • Optometrist
  • Medford, WI
National Provider Identifier
1356717011
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
374835 Issued in WI
Practice address
353 N 8TH St
Medford, WI 54451-1515
Phone
(715) 748-2020
Fax
(715) 748-4565
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2068 AZ
Optometrist 152W00000X 374835 WI Primary
Optometrist 152W00000X 3748-35 WI

Addresses

Primary practice location

353 N 8TH St
Medford, WI 54451-1515

Mailing address

353 N 8TH St
Medford, WI 54451-1515
Phone (715) 748-2020

Other practice location 1

120 Dehne Dr Ste G
Colby, WI 54421-9589
Phone (715) 223-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150922003085 AZ Practitioner - Optometry 9931416021 Reassigns benefits to 1 organization
I20220725003028 WI Practitioner - Optometry 9931416021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthview Eye Care Center, SCGroup PAC ID 5890769368, 5 clinicians
Healthview Eye Care Center-Medford SCGroup PAC ID 7810961471, 6 clinicians

Practice addresses (Care Compare)

120 Dehne Dr
Suite G
Colby, WI 54421-9589
Phone (715) 223-4003

353 N 8TH St
Medford, WI 54451-1515
Phone (715) 748-2020

Merit-based Incentive Payment System (MIPS)

Final score
99.67 of 100Reported as group
Quality
90.74
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
80.34
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3717MNMDProfessional Counselor
374835WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthview Eye Care Center, SC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Healthview Eye Care Center-Medford SC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Lake Havasu Family Eyecare, LLC Optometrist CurrentSince Aug 24, 2015 Accepting new patients

Locations

1990 McCulloch Blvd N
Ste 101
Lake Havasu City, AZ 86403
Phone (702) 242-5555

2277 Swanson Ave
Ste 100
Lk Havasu Cty, AZ 86403
Phone (928) 706-9991

120 Dehne Dr
Ste G
Colby, WI 54421
Phone (715) 223-4003

309 E Broadway Ave
Medford, WI 54451
Phone (715) 748-2020

Interoperability endpoints

  • Direct secure messaging: breannah@direct.revolutionehr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1356717011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 N 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511515",
            "telephone_number": "715-748-2020",
            "fax_number": "715-748-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511515",
            "telephone_number": "715-748-2020",
            "fax_number": "715-748-4565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Dehne Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Colby",
            "state": "WI",
            "postal_code": "544219589",
            "country_code": "US",
            "telephone_number": "715-223-4003",
            "fax_number": "715-223-4417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "BREANNA",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2068",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "374835",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3748-35",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

Verify at the official NPI Registry.