Individual provider Active NPI

Brian Patrick Magwire, O.D.

  • Optometrist
  • Angola, IN
National Provider Identifier
1568443182
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002144B Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4492730001OtherINDMERC
000000305660OtherINBLUECROSS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
18002144BINMDOptometrist

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

Verify at the official NPI Registry.