Nanette Brisbane, O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NANETTE BRISBANE, O.D., PLLC

Practice address

12209 E Mission Ave Ste 9
Spokane Valley, WA 99206-4824

Phone

(509) 443-3145

Fax

(509) 443-3968

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Nanette M Brisbane, ODNPI 1114919990

Title

Owner / Optometrist

Phone

(509) 443-3145

Specialties & licenses 1

Addresses

Other names 1

• Brisbane Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nanette M Brisbane, OD

  • Optometrist
  • Spokane Valley, WA
  • NPI 1114919990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700217403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12209 E MISSION AVE STE 9",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064824",
            "telephone_number": "509-443-3145",
            "fax_number": "509-443-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 E MISSION AVE STE 9",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064824",
            "telephone_number": "509-443-3145",
            "fax_number": "509-443-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANETTE BRISBANE, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRISBANE",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "509-443-3145",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brisbane Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Mwadime
• Daniel O. Myhre, P.A.
• Isabelle Nachtsheim, OT
• Sarah Anne Nall, DPT
• Christi Nance, FNP
• Joshua David Nash
• Mackinsey Nash, PT
• Nathan C Dikes DPM PC
• Nathaniel Van Valin
• Nationwide Adult Family Home LLC

• Optometrist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.