Individual provider Active NPI

Briana Bohn

  • Optometrist
  • Jamestown, ND
National Provider Identifier
1457748006
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
734 Issued in ND
Practice address
300 2ND Ave NE
Jamestown, ND 58401-3373
Phone
(701) 252-2020
Fax
(701) 251-2801
NPI assigned
Apr 21, 2015
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 734 ND Primary

Addresses

Primary practice location

300 2ND Ave NE
Jamestown, ND 58401-3373

Mailing address

300 2ND Ave NE
Jamestown, ND 58401-3373
Phone (701) 252-2020

Other names 1

  • Briana Magrum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20150720000495 ND Practitioner - Optometry 5496068512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Eyecare Centers, PLLCGroup PAC ID 9739148461, 4 clinicians

Practice addresses (Care Compare)

210 10TH St SE
Jamestown, ND 58401-5553
Phone (701) 252-5000

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
60.15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
734NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eyecare Centers, PLLC Optometrist CurrentSince Dec 16, 2022 Accepting new patients
Lifetime Vision 20/20 Optometrist CurrentSince Dec 12, 2017 Accepting new patients
Lutheran Charity Association PastSince Nov 1, 2022 Accepting new patients

Locations

6712 Highway 200
Carrington, ND 58421
Phone (701) 253-4010

210 10th St SE
Jamestown, ND 58401
Phone (701) 252-5000

300 2nd Ave NE
Jamestown, ND 58401
Phone (701) 251-6000

300 2nd Ave NE
Ste 102
Jamestown, ND 58401
Phone (701) 252-2020

200 Central Ave N
Valley City, ND 58072
Phone (701) 845-1511

200 Central Ave N
Ste F
Valley City, ND 58072
Phone (701) 845-5000

Interoperability endpoints

  • Direct secure messaging: briana.bohn@direct.revolutionehr.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jamestown Regional Medical CenterJamestown, ND, CCN 35Z335 Hospital Corporate Director Nov 1, 2022
Jamestown Regional Medical CenterJamestown, ND, CCN 351335 Hospital Corporate Director Nov 1, 2022
Jamestown Regional Medical CenterJamestown, ND, CCN 357002 Home health agency Corporate Director Nov 1, 2022
Jamestown Regional Medical CenterJamestown, ND, CCN 351510 Hospice Corporate Director Nov 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, 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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1457748006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013373",
            "telephone_number": "701-252-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013373",
            "telephone_number": "701-252-2020",
            "fax_number": "701-251-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHN",
        "first_name": "BRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "MAGRUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.