Active NPI
Jade Brunsvold, OD
- Optometrist
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4581
- Practice address
- 523 9TH St S
Great Falls, MT 59405-2113 - Phone
- (406) 727-9160
- NPI assigned
- May 11, 2021
- Last updated
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 4581 | MT | Primary |
Addresses
Primary practice location
523 9TH St S
Great Falls, MT 59405-2113
Mailing address
1601 9TH Ave SW Apt 5
Sidney, MT 59270-5477
Phone (406) 478-0279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2012 14TH St SW
Great Falls, MT 59404-3412
Phone (406) 453-1900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4581 | MT | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Montana Eyecare PC | Optometrist | Current | Accepting new patients |
| Joseph W. Vincent O.D. and Justine E. Redlin O.D. Vision Care P.C. | Optometrist | Current | Accepting new patients |
Locations
2012 14th St SW
Great Falls, MT 59404
Phone (406) 452-4527
2012 14th St SW
Ste 1
Great Falls, MT 59404
523 9th St S
Great Falls, MT 59405
Phone (406) 727-9160
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Great Falls, MT
- NPI 1083015358
-
dba Treasure State Eyecare
- Optometrist
- Great Falls, MT
- NPI 1538448592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1639753189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 9TH AVE SW APT 5",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592705477",
"telephone_number": "406-478-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 9TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594052113",
"telephone_number": "406-727-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNSVOLD",
"first_name": "JADE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "4581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.