Individual provider Active NPI

Brett Briggs

  • Optometrist
  • Omaha, NE
National Provider Identifier
1497309785
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1507 Issued in NE
Practice address
14760 W Center Rd
Omaha, NE 68144-2035
Phone
(402) 334-9100
NPI assigned
Jul 25, 2019
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1507 NE Primary

Addresses

Primary practice location

14760 W Center Rd
Omaha, NE 68144-2035

Mailing address

6032 Binney St
Omaha, NE 68104-3423
Phone (402) 517-5116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20190926002057 NE Practitioner - Optometry 4486984911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1507NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Eyecare PC Optometrist CurrentSince Sep 25, 2019 Accepting new patients
Radiant Family Eyecare LLC Optometrist PastSince Aug 1, 2021 Accepting new patients

Locations

14450 Eagle Run Dr
Ste 140
Omaha, NE 68116
Phone (402) 884-0776

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1497309785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 BINNEY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043423",
            "telephone_number": "402-517-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14760 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442035",
            "telephone_number": "402-334-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "BRETT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.