J Brian Conran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

324235 Issued in WI

Practice address

110 E Division St
Fond Du Lac, WI 54935-4369

Phone

(920) 922-5430

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• W P Zuege,O.D., S.C.

  • Optometrist
  • Fond Du Lac, WI
  • NPI 1487877114
  NPD (past)
• Cole Vision Corporation

  • Optometrist
  • Mason, OH
  • NPI 1508903295
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1790798189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E DIVISION ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354369",
            "telephone_number": "920-922-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E DIVISION ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354369",
            "telephone_number": "920-922-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAN",
        "first_name": "J",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009440",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003173",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "324235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosonna Sue Comers, LCSW CADCIII
• Companion Care & Transportation LLC
• Julia Condon, PHARMD
• Catherine L Conely, CCC-A
• Emily Connovich
• Consultants Laboratory of Wisconsin, LLC
• Consultants Laboratory of Wisconsin, LLC
• Consultants Laboratory of Wisconsin, LLC
• Thomas Miles Cook, LCSW
• Calelle Cooper, PHARMD

• All providers in Fond Du Lac, WI
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.