Christopher W Brackett OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHRISTOPHER W BRACKETT OD LLC

Practice address

4405 Bellemeade Ave Ste 101
Evansville, IN 47714-0682

Phone

(812) 474-1010

NPI assigned

Oct 12, 2020

Last updated

Oct 12, 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. Christopher W Brackett, ODNPI 1548261746

Title

Optometrist

Phone

(812) 589-8018

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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.

• Christopher W Brackett, OD

  • Optometrist
  • Evansville, IN
  • NPI 1548261746
  Medicare reassignment Care Compare group NPD Authorized official
• Eric J Stoltz, O.D.

  • Optometrist
  • Henderson, KY
  • NPI 1750637435

  IN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1598363624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 BELLEMEADE AVE STE 101",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140682",
            "telephone_number": "812-474-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 BELLEMEADE AVE STE 101",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140682",
            "telephone_number": "812-474-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER W BRACKETT OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "812-589-8018",
        "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": "231380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mike Wooliang Chou, M.D.
• Joe N Choufani, M.D.
• Russell Thomas Chowning, MD
• Karoline Chraponski, LAT, ATC
• David D Christeson, MD
• Jennifer Christopher
• Ashley Dawn Chumley, PHARMD
• Barbara R Chumley
• Barry Brent Churchill
• Megan Cielesz

• Optometrist in Evansville, IN
• Providers in Evansville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.