Brianna Idell

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT007301 Issued in OH

Practice address

307 W Main St
Kent, OH 44240-2400

Phone

(330) 673-7538

NPI assigned

Jun 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarkson Optometry Midwest IncGroup PAC ID 0749504165, 78 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Clarkson Optometry Midwest Inc

  • Optometrist
  • Centerville, OH
  • NPI 1073917597
  Medicare reassignment Care Compare group NPD
• Glanville & Hussing, O.D. , Inc

  • Optometrist
  • Cuyahoga Falls, OH
  • NPI 1861552473
  Medicare reassignment NPD
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Wooster, OH
  • NPI 1396325130
  NPD
• Glanville & Hussing, O.D., Inc

  • Optometrist
  • Kent, OH
  • NPI 1477613081
  NPD
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Clarksville, IN
  • NPI 1295772143
  NPD
• 20-20 Eyecare PSC

  • Optometrist
  • Louisville, KY
  • NPI 1710924949
  NPD (past)

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1386487361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 DUNBAR RD",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782901",
            "telephone_number": "330-256-0533",
            "fax_number": "330-595-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W MAIN ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402400",
            "telephone_number": "330-673-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDELL",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT007301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Huss
• Mark C Hussing, PT
• Heather Hutchison
• Erica C Hutson, M.ED.
• David Thomas Hyland, CT
• Johnny Ilijevski, QMHS
• Margaret Kay Ina, MA
• Ashley D Ingol, LPN
• Grace L Ingraham
• Integrated Medical, Inc

• Optometrist in Kent, OH
• Providers in Kent, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.