Mile Brujic, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5292 T2201 Issued in OH

Practice address

1222 Ridgewood Dr
Bowling Green, OH 43402-2664

Phone

(419) 352-2505

Fax

(419) 352-1281

NPI assigned

Sep 7, 2006

Last updated

Jun 30, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

New England College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John T Archer and Associates IncGroup PAC ID 9931193158, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John T Archer & Associates Inc

  dba Premier Vision Group

  • Optometrist
  • Northwood, OH
  • NPI 1821679705
  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1659474120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DARLYN DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-352-2502",
            "fax_number": "419-352-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 RIDGEWOOD DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022664",
            "telephone_number": "419-352-2505",
            "fax_number": "419-352-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUJIC",
        "first_name": "MILE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5292 T2201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335904",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koleman Brown
• Laurie M. Brown, RN
• Richera J Brown
• Raiden Douglas Browning
• Elaine J Bruckner, PH.D.
• Sonia Ann Brujic, PHARM D
• Janet Brumbaugh, LSW
• Renee Sue Bruns
• Mindy Bruton, LMT
• Kara Buchman, BSW

• Optometrist in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.