Active NPI
Braden Christian Hirstein, OD
- Optometrist
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002502
- Practice address
- 10750 W McDowell Rd Ste A100
Avondale, AZ 85392-5961 - Phone
- (623) 877-3007
- NPI assigned
- Jun 21, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-002502 | AZ | Primary |
Addresses
Primary practice location
10750 W McDowell Rd Ste A100
Avondale, AZ 85392-5961
Mailing address
10350 W McDowell Rd Apt 1215
Avondale, AZ 85392-4814
Phone (219) 771-8636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Indiana University - School of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10750 W McDowell Rd
Suite A100
Avondale, AZ 85392-5961
Phone (623) 877-3007
4236 N Verrado Way
Suite 103
Buckeye, AZ 85396-7595
Phone (623) 792-1955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002502 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam J. Lee, PC | Optometrist | Current | Accepting new patients |
| Lilien Vogl OD PC | Past | Accepting new patients |
Locations
10750 W McDowell Rd
Ste A100
Avondale, AZ 85392
Phone (623) 877-3007
4236 N Verrado Way
Ste 103
Buckeye, AZ 85396
Phone (623) 792-1955
Organizations & group practices 2
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": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1760051064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 W MCDOWELL RD APT 1215",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924814",
"telephone_number": "219-771-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10750 W MCDOWELL RD STE A100",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925961",
"telephone_number": "623-877-3007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSTEIN",
"first_name": "BRADEN",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.