Kayton Coffee Brawner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2885 Issued in AR

Practice address

101 Dawn Dr
Centerton, AR 72719-9314

Phone

(479) 795-1411

Fax

(479) 795-1412

NPI assigned

Mar 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kayton Lagaye Coffee Former name

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

Southern College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Petty and Petty P aGroup PAC ID 7517063159, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Petty and Petty, P. a.

  • Optometrist
  • Centerton, AR
  • NPI 1457412991
  Medicare reassignment Care Compare group NPD
• Pediatric Vision Development Center Inc.

  • Vision Therapy Optometrist
  • Centerton, AR
  • NPI 1558427021
  NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1366200909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DAWN DR",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727199314",
            "telephone_number": "479-270-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DAWN DR",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727199314",
            "telephone_number": "479-795-1411",
            "fax_number": "479-795-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAWNER",
        "first_name": "KAYTON",
        "middle_name": "COFFEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2885",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYTON",
            "last_name": "COFFEE",
            "middle_name": "LAGAYE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Leann Bettinardi, MS, CCC-SLP
• Joshua R Block, M.D.
• Jodie A Bone, BCBA
• Bradley R Crossfield DDS PLLC
• Amy Brandenburg
• Sarah J Brinkley, APN
• Jenna K Buettemeyer, RN BSN
• Megan Elizabeth Busch, M.D.
• Sharina Darlene Cassity, PT, DPT
• Centerton Orthodontics, PLLC

• Optometrist in Centerton, AR
• Providers in Centerton, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.