Marcus Richard Braaten, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003432A Issued in IN

Practice address

4326 Charlestown Rd # 2
New Albany, IN 47150-8542

Phone

(812) 945-0023

Fax

(812) 945-0291

NPI assigned

Jul 27, 2006

Last updated

Jul 29, 2019By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisville Optometric Centers III, PSCGroup PAC ID 8729041926, 38 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.

• Louisville Optometric Centers III, PSC

  dba Vision First

  • Optometrist
  • Louisville, KY
  • NPI 1134111271

  IN

  Medicare reassignment Care Compare group NPD
• Louisville Optometric Centers III, PSC

  dba VisionFirst

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1538938725
  NPD
• Louisville Optometric Centers, III PSC

  dba VisionFirst

  • Optometrist
  • New Albany, IN
  • NPI 1821164740
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1669486866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 CHARLESTOWN RD # 2",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508542",
            "telephone_number": "812-945-0023",
            "fax_number": "812-945-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 CHARLESTOWN RD # 2",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508542",
            "telephone_number": "812-945-0023",
            "fax_number": "812-945-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAATEN",
        "first_name": "MARCUS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003432A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300012451",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@VisionFirstAttnShannonBlairLouisvilleKY.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4326 Charlestown Rd # 2",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471508542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandria Erin Boyd
• Benjamin Travis Boyett, MD
• Jami Boyle
• Monica C Bozeman, PT
• Braaten Family Eye Care, LLC
• Kiera Rayne Bradford
• Chelcey Dale Bragg
• Michael Edward Bratcher, MSOT OTR/L
• Amy Marie Braun, OT
• Sofia Braunstein, OD

• Optometrist in New Albany, IN
• Providers in New Albany, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.