Individual provider Active NPI

Jade Brunsvold, OD

  • Optometrist
  • Great Falls, MT
National Provider Identifier
1639753189
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4581 Issued in MT
Practice address
523 9TH St S
Great Falls, MT 59405-2113
Phone
(406) 727-9160
NPI assigned
May 11, 2021
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826000785 MT Practitioner - Optometry 6800285529 Reassigns benefits to 2 organizations

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
Central Montana Eyecare PCGroup PAC ID 7517289002, 6 clinicians

Practice addresses (Care Compare)

2012 14TH St SW
Great Falls, MT 59404-3412
Phone (406) 453-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4581MTMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Central Montana Eyecare PC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Joseph W. Vincent O.D. and Justine E. Redlin O.D. Vision Care P.C. Optometrist CurrentSince Sep 1, 2022 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.

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

Verify at the official NPI Registry.