Alexandra Marie Braet, O.D.
Individual provider Active NPI Optometrist · Galesburg, IL
NPI 1740837848 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1740837848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046011322 (IL)
- Practice address
- 261 N Broad St
Galesburg, IL 61401-4563 - Phone
- (309) 343-1179
- Fax
- (309) 343-5287
- NPI assigned
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kehoe Eye Care PC
Practice addresses (Care Compare)
67 Public SQ
Monmouth, IL 61462-1755
Phone (309) 734-3108
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.17 of 100
- Quality
- 98.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191023000368 | IL | Practitioner - Optometry | 7517299647 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Eye Care PC | Optometrist | Current |
Accepting new patients |
| Kehoe Eye Care PC | Optometrist | Current |
Accepting new patients |
Locations
261 N Broad St
Ste 35
Galesburg, IL 61401
Phone (309) 343-1179
216 NW 1st St
Galva, IL 61434
Phone (309) 932-2615
67 Public Sq
Monmouth, IL 61462
Phone (309) 734-3108
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011322 | IL | Yes |
Addresses
Primary practice location
261 N Broad St
Galesburg, IL 61401-4563
Mailing address
216 NW 1St St
Galva, IL 61434-1302
Phone (309) 932-3615
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.