Individual provider Active NPI

Shawn A Brand, O.D.

  • Optometrist
  • Princeton, NJ
National Provider Identifier
1457422651
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00604200 Issued in NJ
Practice address
419 N Harrison St Ste 104
Princeton, NJ 08540-3521
Phone
(099) 219-4376
Fax
(609) 921-0277
NPI assigned
Nov 11, 2006
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00604200 NJ Primary

Addresses

Primary practice location

419 N Harrison St Ste 104
Princeton, NJ 08540-3521

Mailing address

419 N Harrison St Ste 104
Princeton, NJ 08540-3521
Phone (609) 921-9437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070524000471 NJ Practitioner - Optometry 3274630363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Eye Group, PAGroup PAC ID 8426027731, 14 clinicians

Practice addresses (Care Compare)

419 N Harrison St
Suite 104
Princeton, NJ 08540-3521
Phone (609) 921-9437

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
70.77
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Eye Group, PA Optometrist CurrentSince May 4, 2015 Accepting new patients
Princeton Eye Group, PA CurrentSince May 4, 2015 Accepting new patients

Locations

298 Applegarth Rd
Ste I
Monroe Twp, NJ 08831
Phone (609) 655-7776

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

419 N Harrison St
Ste 104
Princeton, NJ 08540
Phone (609) 921-9437

900 Easton Ave
Ste 50
Somerset, NJ 08873
Phone (732) 565-9550

950 Hamilton St
Somerset, NJ 08873
Phone (732) 214-9128

Interoperability endpoints

  • Direct secure messaging: sbrand@peg1970.srs-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1457422651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST STE 104",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-921-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST STE 104",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "099-219-4376",
            "fax_number": "609-921-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "SHAWN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00604200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.