Brand New Day, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRAND NEW DAY, LLC

Practice address

313 E Commercial Ave Unit C
Lowell, IN 46356-1707

Phone

(410) 271-6747

NPI assigned

Aug 3, 2022

Last updated

Aug 3, 2022By 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. Kevin Eugene Johnson, ODNPI 1538246855

Title

Owner

Phone

(410) 271-6747

Specialties & licenses 1

Addresses

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.

• Kevin Johnson, OD

  • Optometrist
  • Lowell, IN
  • NPI 1538246855
  Medicare reassignment NPD Authorized official
• Lisa Marie Politza, O.D.

  • Optometrist
  • Joliet, IL
  • NPI 1013055656
  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1619604337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E COMMERCIAL AVE UNIT C",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561707",
            "telephone_number": "410-271-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E COMMERCIAL AVE UNIT C",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561707",
            "telephone_number": "410-271-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND NEW DAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-271-6747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Blanchard
• Kelly R Blank, MSW, LCSW
• Bailey Boicken
• Jennifer Boster
• Jane Brady, SLP
• Steven Joseph Butera, LMHC, LCAC, NCC, CHP
• Kelly Ann Calvillo, MHS
• Kelley Campbell, PHARMD
• Kathryn Camus
• Anastasia Christakis-Szostek

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.