Brian Darrell Smith, O.D.
Individual provider Active NPI Optometrist · Milltown, WI
NPI 1366483612 · NPPES record last updated Jul 7, 2009
Key facts
- NPI
- 1366483612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2728 (WI)
- Practice address
- 1301 County Road G
Milltown, WI 54858-2915 - Phone
- (715) 825-3974
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Siren Family Eyecare LLC
Osceola Family Eyecare LLC
St. Croix Tribal Council
Practice addresses (Care Compare)
24082 State Rd
Suite 35
Siren, WI 54872-4451
Phone (715) 349-2733
304 3Rd Ave E
Osceola, WI 54020-8185
Phone (715) 294-2500
4404 State Rd
Suite 70
Webster, WI 54893-9251
Phone (715) 349-8554
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 24 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040330000742 | WI | Practitioner - Optometry | 7719979046 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osceola Family Eyecare LLC | Optometrist | Current |
Accepting new patients |
| Siren Family Eyecare, LLC | Optometrist | Current |
Accepting new patients |
| St. Croix Tribal Council | Current |
Accepting new patients | |
| Javen D. Holm OD PA | Optometrist | Past | Accepting new patients |
| St. Croix Tribal Council | Past | Accepting new patients | |
| Eyecare Center Optometrist PSC | Optometrist | Past | Accepting new patients |
| Rice Lake Family Eyecare, LLC | Optometrist | Past | Accepting new patients |
| Eyecare Center Optometrist PSC | Optometrist | Past | Accepting new patients |
| Smith Vision Center, Optometrists LLC | Optometrist | Past | Accepting new patients |
Locations
2221 60th St
Luck, WI 54853
Phone (715) 857-5694
304 3rd Ave
Osceola, WI 54020
Phone (715) 294-2500
24082 State Road 35
Siren, WI 54872
Phone (715) 294-2500
4404 State Road 70
Webster, WI 54893
Phone (715) 349-8554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2728 | WI | Yes |
Addresses
Primary practice location
1301 County Road G
Milltown, WI 54858-2915
Mailing address
1301 County Road G
Milltown, WI 54858-2915
Phone (715) 825-3974
Other providers in Milltown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.