Brandermill Eye Center, Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRANDERMILL EYE CENTER, OPTOMETRY, INC.

Practice address

2348 Colony Crossing Place
Midlothian, VA 23112-4280

Phone

(804) 639-2204

NPI assigned

Jun 9, 2006

Last updated

Mar 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela Shen, ODNPI 1881635134

Title

Owner, President, Ceo

Phone

(804) 639-2204

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• Angela Shen, OD

  • Optometrist
  • Midlothian, VA
  • NPI 1881635134
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1508807850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 COLONY CROSSING PLACE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124292",
            "telephone_number": "804-639-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 COLONY CROSSING PLACE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124280",
            "telephone_number": "804-639-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDERMILL EYE CENTER, OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, CEO",
        "authorized_official_telephone_number": "804-639-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9233831",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508807850",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen L Bradshaw, NP
• Mary Hill Bradshaw, PSY.D
• Jessica Brady, ATC
• Eric Robert Braen, PH.D.
• Christine Marie Brandel, M.S., CCC-SLP
• Brandermill Pediatric & Adolescent Medicine PC
• Casey Renee Branson, M.S. SLP
• Ekaterina Bratysheva, MD
• Tory Braxton, CSFA
• Monica Nelson Bregman, MS, CF-SLP

• Optometrist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.