Active NPI
David J Braun, O.D.
- Corneal and Contact Management Optometrist
- Syracuse, NY
National Provider Identifier
1700806973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- VUT006089
- Practice address
- 120 Julian PL
Syracuse, NY 13210-3460 - Phone
- (315) 214-5858
- Fax
- (315) 218-5966
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | VUT006089 | NY | Primary |
Addresses
Primary practice location
120 Julian PL
Syracuse, NY 13210-3460
Mailing address
120 Julian PL
Syracuse, NY 13210-3460
Phone (315) 214-5858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000131627 | Other | NY | BCBS PROVIDER ID |
| 9681599 | Other | NY | MVP PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
53 -59 Public SQ
Suite 100
Watertown, NY 13601-2174
Phone (315) 214-5858
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT006089 | NY | MD | Corneal and Contact Management Optometrist |
| 006089 | NY | MD | Acupuncturist |
Organizations & group practices 1
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.
-
- Health Maintenance Organization
- Syracuse, NY
- NPI 1306178207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1700806973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 JULIAN PL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132103460",
"telephone_number": "315-214-5858",
"fax_number": "315-218-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 JULIAN PL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132103460",
"telephone_number": "315-214-5858",
"fax_number": "315-218-5966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "VUT006089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "000131627",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER ID",
"identifier": "9681599",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.