Active NPI
Brian Patrick Magwire, O.D.
- Optometrist
- Angola, IN
National Provider Identifier
1568443182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002144B
- Practice address
- 407 W Maumee St
Angola, IN 46703-1428 - Phone
- (260) 665-5918
- Fax
- (260) 665-5918
- NPI assigned
- Nov 10, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002144B | IN | Primary |
Addresses
Primary practice location
407 W Maumee St
Angola, IN 46703-1428
Mailing address
407 W Maumee St
Angola, IN 46703-1428
Phone (260) 665-5918
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4492730001 | Other | IN | DMERC |
| 000000305660 | Other | IN | BLUECROSS BLUESHIELD PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111208000701 | IN | Practitioner - Optometry | 8628281219 | Practice locations: Angola, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
407 W Maumee St
Angola, IN 46703-1428
Phone (260) 665-5918
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002144B | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568443182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W MAUMEE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467031428",
"telephone_number": "260-665-5918",
"fax_number": "260-665-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W MAUMEE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467031428",
"telephone_number": "260-665-5918",
"fax_number": "260-665-5918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGWIRE",
"first_name": "BRIAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002144B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4492730001",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD PIN",
"identifier": "000000305660",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.