Brinegar Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002852 Issued in IN

Legal business name

BRINEGAR EYE CARE, LLC

Practice address

4001 E 3Rd St Ste 8
Bloomington, IN 47401-5508

Phone

(812) 339-7995

Fax

(812) 339-7841

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lori J. Brinegar

Title

Office Manager

Phone

(812) 339-7995

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Joe Brinegar, O.D.

  • Optometrist
  • Greenwood, IN
  • NPI 1164415394
  Medicare reassignment NPD

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1790799021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E 3RD ST STE 8",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015508",
            "telephone_number": "812-339-7995",
            "fax_number": "812-339-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E 3RD ST STE 8",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015508",
            "telephone_number": "812-339-7995",
            "fax_number": "812-339-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINEGAR EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "BRINEGAR",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-339-7995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH PLAN",
            "identifier": "N265233",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000334253",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "014498",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100362860B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005501569",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian J. Logue MD. PC
• Tina S Brickert, CNM
• Alexis Brickner
• Esther J Briggs, CPNP
• Bright Life Hearing Care, LLC
• Sydney N Brinegar, RBT
• Kelly L Brinkley, PT
• Philip Clark Brittain, DO
• Samantha Marie Britton, DPT
• Isaiah Broden

• Optometrist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.