Individual provider Active NPI

Brian Bratcher, O.D.

  • Optometrist
  • Mandeville, LA
National Provider Identifier
1407238777
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1798732AT Issued in LA
Practice address
2997 Highway 190
Mandeville, LA 70471-3298
Phone
(985) 727-9948
NPI assigned
Jun 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1798732AT LA Primary

Addresses

Primary practice location

2997 Highway 190
Mandeville, LA 70471-3298

Mailing address

300 Saint Ann Dr Apt 1512
Mandeville, LA 70471-3293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20150909000092 LA Practitioner - Optometry 5597071449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2997 Hwy 190
Mandeville, LA 70471-3298
Phone (985) 727-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1798732ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Optique Inc Optometrist CurrentSince Aug 1, 2015 Accepting new patients
Vision Optique Inc Optometrist Current Accepting new patients
Jason Lam O.D., M.B.a., Inc. Optometrist Past Accepting new patients

Locations

1600 N Highway 190
Ste 3
Covington, LA 70433

1600 N Highway 190
Covington, LA 70433
Phone (985) 892-1056

70380 Highway 21
Covington, LA 70433
Phone (985) 635-6996

2997 Highway 190
Mandeville, LA 70471
Phone (985) 727-9948

3242 Severn Ave
Metairie, LA 70002
Phone (504) 455-0764

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1407238777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SAINT ANN DR APT 1512",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2997 HIGHWAY 190",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713298",
            "telephone_number": "985-727-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATCHER",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1798732AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.