Active NPI
Shawn Philip Brittain, O.D.
- Optometrist
- Camas, WA
National Provider Identifier
1457591166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3536
- Practice address
- 2713 NW Ivy St
Camas, WA 98607-8899 - Phone
- (360) 608-3095
- NPI assigned
- Feb 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3536 | WA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 3536 | WA | |
| Pediatric Optometrist | 152WP0200X | 3536 | WA | |
| Sports Vision Optometrist | 152WS0006X | 3536 | WA | |
| Occupational Vision Optometrist | 152WX0102X | 3536 | WA |
Addresses
Primary practice location
2713 NW Ivy St
Camas, WA 98607-8899
Mailing address
2713 NW Ivy St
Camas, WA 98607-8899
Phone (360) 608-3095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005122 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090916000650 | WA | Practitioner - Optometry | 9537215561 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7017 NE Hwy 99
Suite 202
Vancouver, WA 98665-0553
Phone (360) 694-0760
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3536 | WA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brittain Eye Care, PS | Optometrist | Current | Accepting new patients |
Locations
7017 NE Highway 99
Ste 202
Vancouver, WA 98665
Phone (360) 694-0760
Organizations & group practices 1
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.
-
- Optometrist
- Vancouver, WA
- NPI 1740412105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1457591166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 NW IVY ST",
"city": "CAMAS",
"state": "WA",
"postal_code": "986078899",
"telephone_number": "360-608-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 NW IVY ST",
"city": "CAMAS",
"state": "WA",
"postal_code": "986078899",
"telephone_number": "360-608-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTAIN",
"first_name": "SHAWN",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-20",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3536",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "WA",
"license": "3536",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "WA",
"license": "3536",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "WA",
"license": "3536",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "WA",
"license": "3536",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2005122",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.