Individual provider Active NPI

David R Braswell, OD

  • Optometrist
  • Rocky Mount, NC
National Provider Identifier
1740223866
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1410 Issued in NC
Practice address
819 Tiffany Blvd
Rocky Mount, NC 27804-1812
Phone
(252) 972-2020
Fax
(252) 977-7241
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1410 NC Primary

Addresses

Primary practice location

819 Tiffany Blvd
Rocky Mount, NC 27804-1812

Mailing address

819 Tiffany Blvd
Rocky Mount, NC 27804-1812
Phone (252) 972-2020

Other identifiers 2

IdentifierTypeStateIssuer
0913BOtherNCBCBSNC PROVIDER ID
890913BMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100330000262 NC Practitioner - Optometry 8820124845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

819 Tiffany Blvd
Rocky Mount, NC 27804-1812
Phone (252) 972-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1410NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Sep 1, 1992 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Sep 1, 1992 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients

Locations

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

Interoperability endpoints

  • Direct secure messaging: dbraswell@direct.eyecare-partners.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1740223866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 TIFFANY BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041812",
            "telephone_number": "252-972-2020",
            "fax_number": "252-977-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 TIFFANY BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041812",
            "telephone_number": "252-972-2020",
            "fax_number": "252-977-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER ID",
            "identifier": "0913B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890913B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.