Active NPI
Bridget Brady Nair, O.D.
- Optometrist
- Latrobe, PA
National Provider Identifier
1639276173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001363
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21308 | Other | PA | SPECTERA |
| 44125 | Other | PA | DAVIS VISION |
| 01969071 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vittone Eye Surgical Associates PC | Optometrist | Current | Accepting new patients |
| Bridget B. Nair O.D. | Optometrist | Past | 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.
-
- Optometrist
- Latrobe, PA
- NPI 1669727814
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.