Individual provider Active NPI

Bridget Brady Nair, O.D.

  • Optometrist
  • Latrobe, PA
National Provider Identifier
1639276173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001363 Issued in PA
Practice address
100 Colony Lane
Latrobe, PA 15650
Phone
(724) 537-9258
Fax
(724) 537-9271
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001363 PA Primary

Addresses

Primary practice location

100 Colony Lane
Latrobe, PA 15650

Mailing address

100 Colony Lane
Latrobe, PA 15650
Phone (724) 537-9258

Other identifiers 3

IdentifierTypeStateIssuer
21308OtherPASPECTERA
44125OtherPADAVIS VISION
01969071MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031219000088 PA Practitioner - Optometry 0941107627 Reassigns benefits to 1 organization
Practice locations: Latrobe, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vittone Eye Surgical Associates PC Optometrist CurrentSince Feb 3, 2020 Accepting new patients
Bridget B. Nair O.D. Optometrist PastSince Mar 9, 2011 Accepting new patients

Locations

1010 Ligonier St
Latrobe, PA 15650
Phone (724) 539-1671

509 Georgian Pl
Somerset, PA 15501
Phone (814) 443-9443

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639276173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLONY LANE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "15650",
            "telephone_number": "724-537-9258",
            "fax_number": "724-537-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLONY LANE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "15650",
            "telephone_number": "724-537-9258",
            "fax_number": "724-537-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "BRIDGET",
        "middle_name": "BRADY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "21308",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "44125",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01969071",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.