Dr. William F. Brigham, Optometrist Inc

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

Organization subpart

No

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

Authorized official

Name

Dr. William F. Brigham, OD

Title

President

Phone

(260) 422-9421

Specialties & licenses 2

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle L Frye, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1063610517
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100280170A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "13275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IN1470",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200941810A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Eric Lehr and Associates, P.C.
• Dr Heath Nagel PC
• Dr Timothy Berger
• Dr. L Gary Painter PC
• Dr. Lora Overton PC
• Amber N Drake, CD(DONA)
• John E Drake, D.O.
• Leslie D Draper, NP
• Demontri Draughn Jr.
• Drayer Physical Therapy Indiana LLC

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• 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.