Organization Active NPI

Brendel Eye Care LLC

  • Optometrist
  • Medina, OH
National Provider Identifier
1639831969
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRENDEL EYE CARE LLC
Practice address
4087 Medina Rd Ste 200
Medina, OH 44256-5946
Phone
(330) 662-3937
NPI assigned
Oct 13, 2021
Last updated
Oct 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Dr. Christopher Brendel, ODNPI 1629482278
Title
Optometrist/Owner
Phone
(330) 715-5509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4087 Medina Rd Ste 200
Medina, OH 44256-5946

Mailing address

4087 Medina Rd Ste 200
Medina, OH 44256-5946
Phone (330) 662-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106002585 OH Part B Supplier - Clinic/Group Practice 4789075433 Receives reassigned benefits from 3 practitioners
Practice locations: Medina, OH; Valley City, OH

National Provider Directory

National Provider Directory

Locations

6621 Center Rd
Valley City, OH 44280
Phone (330) 483-4035

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1639831969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 MEDINA RD STE 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565946",
            "telephone_number": "330-662-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 MEDINA RD STE 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565946",
            "telephone_number": "330-662-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDEL EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "BRENDEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "330-715-5509",
        "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": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.