Individual provider Active NPI

Iana Brewer, OD

  • Optometrist
  • Southampton, PA
National Provider Identifier
1649883265
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003720 Issued in PA
Practice address
950 Industrial Blvd Ste 3
Southampton, PA 18966-4070
Phone
(215) 357-8330
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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 OEG003720 PA Primary

Addresses

Primary practice location

950 Industrial Blvd Ste 3
Southampton, PA 18966-4070

Mailing address

358 Meadowbrook Dr
Huntingdon Valley, PA 19006-6812
Phone (215) 676-8134

Other names 1

  • Iana Volodarsky Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126002042 PA Practitioner - Optometry 2062839046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

950 Industrial Blvd
Suite 3
Southampton, PA 18966-4070
Phone (215) 357-8330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Volovision PLLC Optometrist CurrentSince Apr 26, 2022 Accepting new patients
Vivian Descant Vision Care OD, LLC Optometrist Past Accepting new patients

Locations

950 Industrial Blvd
Southampton, PA 18966
Phone (215) 357-8330

950 Industrial Blvd
Ste 3
Southampton, PA 18966
Phone (215) 357-8330

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.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1649883265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 MEADOWBROOK DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066812",
            "telephone_number": "215-676-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 INDUSTRIAL BLVD STE 3",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664070",
            "telephone_number": "215-357-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "IANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IANA",
            "last_name": "VOLODARSKY",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.