NPIMap

Organization Active NPI

Dr. William F. Brigham, Optometrist Inc

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1508033622
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001470 Issued in IN
Legal business name
DR. WILLIAM F. BRIGHAM, OPTOMETRIST INC
Practice address
902 W Wayne St
Fort Wayne, IN 46802-3976
Phone
(260) 422-9421
Fax
(260) 422-9422
NPI assigned
May 8, 2008
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. William F. Brigham, ODNPI 1750364006
Title
President
Phone
(260) 422-9421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 18001470 IN Primary
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X 18001470 IN

Addresses

Primary practice location

902 W Wayne St
Fort Wayne, IN 46802-3976

Mailing address

902 W Wayne St
Fort Wayne, IN 46802-3976
Phone (260) 422-9421

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1508033622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023976",
            "telephone_number": "260-422-9421",
            "fax_number": "260-422-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023976",
            "telephone_number": "260-422-9421",
            "fax_number": "260-422-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILLIAM F. BRIGHAM, OPTOMETRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BRIGHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-422-9421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001470",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "IN",
            "license": "18001470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.