Brett Matthew Defauw, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3955 Issued in MN

Practice address

14050 Burnhaven Dr
Burnsville, MN 55337-4407

Phone

(952) 229-6462

NPI assigned

Aug 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steel Optical Inc Professional CorporationGroup PAC ID 6305242280, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Steel Optical Inc Professional Corporation

  • Optometrist
  • Eagan, MN
  • NPI 1225603509
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1639909336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50784 BOWER CT",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474626",
            "telephone_number": "586-246-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 BURNHAVEN DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374407",
            "telephone_number": "952-229-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 Blue Gentian Rd",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551211542",
            "country_code": "US",
            "telephone_number": "612-439-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFAUW",
        "first_name": "BRETT",
        "middle_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen De Vries
• Eric M Deal, M.D.
• Rachel K Deambrogio, CRNA
• Nicole Dean
• Ruweda Deekow
• Jared Defriend, PT, DPT
• Mason D Degrazia
• Ethan M Dekam
• Suad Deleeuw
• Amina Deleo

• Optometrist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.

Verify at the official NPI Registry.