Michelle Diane Brehm, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010307 Issued in IL

Practice address

2531 N Clark St
Chicago, IL 60614-1717

Phone

(773) 281-3560

NPI assigned

Jul 17, 2008

Last updated

Nov 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle Brehm Chopp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• See Inc.

  • Optometrist
  • Chicago, IL
  • NPI 1720201718
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1427212539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10134 FLINT ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142696",
            "telephone_number": "913-488-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141717",
            "telephone_number": "773-281-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREHM",
        "first_name": "MICHELLE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008019711",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CHOPP",
            "middle_name": "BREHM",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Danyella Bregger, M.D.
• Ann Bregman, PSY.D.
• Corey Steven Bregman, MD
• Eric Brehm, M.D.
• Linda Brehm, R.PH
• Whitney Breidenbaugh
• Timothy James Breider, MD
• Faye Baulch Breining, AM
• Lauren Louise Breit, LCPC, CADC, NCC, CST
• Natalie R Breitmeyer, LCPC, R-DMT

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.