Briana Bohn
Individual provider Active NPI Optometrist · Jamestown, ND
NPI 1457748006 · NPPES record last updated Dec 28, 2017
Key facts
- NPI
- 1457748006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 734 (ND)
- Practice address
- 300 2ND Ave NE
Jamestown, ND 58401-3373 - Phone
- (701) 252-2020
- Fax
- (701) 251-2801
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Owned or controlled facilities with NPI records 4
Medicare Care Compare profile
- 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, PLLC
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 100
- Quality
- 60.15
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Jamestown Regional Medical Center |
Hospital | Corporate Director | Nov 1, 2022 |
| Jamestown Regional Medical Center |
Hospital | Corporate Director | Nov 1, 2022 |
| Jamestown Regional Medical Center |
Home health agency | Corporate Director | Nov 1, 2022 |
| Jamestown Regional Medical Center |
Hospice | Corporate Director | Nov 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150720000495 | ND | Practitioner - Optometry | 5496068512 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Eyecare Centers, PLLC | Optometrist | Current |
Accepting new patients |
| Lifetime Vision 20/20 | Optometrist | Current |
Accepting new patients |
| Lutheran Charity Association | Past |
Accepting new patients |
Locations
6712 Highway 200
Carrington, ND 58421
Phone (701) 253-4010
300 2nd Ave NE
Jamestown, ND 58401
Phone (701) 251-6000
300 2nd Ave NE
Ste 102
Jamestown, ND 58401
Phone (701) 252-2020
210 10th St SE
Jamestown, ND 58401
Phone (701) 252-5000
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
- briana.bohn@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 734 | ND | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N721435 | Other | MEDICARE PTAN | |
| 1464575 | Medicaid | ND |
Other names
- Briana Magrum
Other providers in Jamestown, ND
- Brandie Block-Ramlo
- Kyle Blumenshine
- Jessica Rose Bodine
- Andrea Christine Boerger Stilwell
- Adrienne Rae Maree Bohl
- Laura Ann Bond
- Taryn Nicole Boom
- Kira Bossert
- Terri L Bostan
- Michael J Boulter
All providers in Jamestown, ND · Optometrist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.