Edward George Bryant IV, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006637 Issued in NY

Practice address

1284 Dryden Road
Ithaca, NY 14850-8795

Phone

(607) 257-1066

Fax

(607) 257-1378

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward G Bryant IV OD PLLCGroup PAC ID 0840445540, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Edward G Bryant IV OD PLLC

  • Optometrist
  • Ithaca, NY
  • NPI 1912241175
  Medicare reassignment Care Compare group NPD
• Dr Cara Reitnauer LLC

  • Optometrist
  • Gilbertsville, PA
  • NPI 1750621348
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1790785384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 DRYDEN ROAD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508795",
            "telephone_number": "607-257-1066",
            "fax_number": "607-257-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 DRYDEN ROAD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508795",
            "telephone_number": "607-257-1066",
            "fax_number": "607-257-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "EDWARD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Michael Brown
• Nicole Brown
• Samantha A Brown, P.T.
• Thomas E Brown, PA
• Vanessa Frances Brown
• Btrnc, LLC
• Cynthia Raulfs Buchanan, M.S., SLP
• Mary Bucknam, P.A.
• Rachel Lynn Buckwalter, RN, BSN
• Buffalo Vamc

• Optometrist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.

Verify at the official NPI Registry.