Individual provider Active NPI

Brett Mower, OD

  • Optometrist
  • Selah, WA
National Provider Identifier
1689010811
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60367942 Issued in WA
Practice address
105 W Orchard Ave
Selah, WA 98942-1329
Phone
(509) 697-2020
Fax
(509) 697-6659
NPI assigned
May 15, 2013
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60367942 WA Primary

Addresses

Primary practice location

105 W Orchard Ave
Selah, WA 98942-1329

Mailing address

1 Jim Clements Way
Selah, WA 98942-1437
Phone (509) 697-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130703000463 WA Practitioner - Optometry 9133369606 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

811 Zillah W Rd
Zillah, WA 98953-9542
Phone (509) 865-2777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Vision PLLC Optometrist Current Accepting new patients
Zillah Vision PLLC Optometrist CurrentSince Jan 1, 2018 Accepting new patients
Mower Vision Source, PLLC Optometrist CurrentSince Jan 1, 2015 Accepting new patients
Aeg Washington Professional PC Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Selah Vision Source, PLLC Optometrist Past Accepting new patients

Locations

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

320 Jim Clements Way
Selah, WA 98942
Phone (509) 697-2020

811 Zillah West Rd
Zillah, WA 98953
Phone (509) 865-2777

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1689010811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JIM CLEMENTS WAY",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421437",
            "telephone_number": "509-697-2020",
            "fax_number": "509-697-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W ORCHARD AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421329",
            "telephone_number": "509-697-2020",
            "fax_number": "509-697-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWER",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60367942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

Verify at the official NPI Registry.