Active NPI
Brian Thomas Landrum, O.D., M.S.
- Optometrist
- Middletown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5876
- Practice address
- 315 N Breiel Blvd
Middletown, OH 45042-3868 - Phone
- (513) 424-0339
- Fax
- (513) 424-4910
- NPI assigned
- Jun 25, 2009
- 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 | 5876 | OH | Primary |
Addresses
Primary practice location
315 N Breiel Blvd
Middletown, OH 45042-3868
Mailing address
316 W North St
Piqua, OH 45356-2224
Phone (937) 916-3028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3050880 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Ohio State University - College of Optometry, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2051 N Bechtle Ave
Suite 130
Springfield, OH 45504-1583
Phone (937) 399-8000
316 S Hamilton Rd
Gahanna, OH 43230-3350
3373 Princeton Rd
Suite 121
Hamilton, OH 45011-7963
Phone (513) 893-2900
368 S Hamilton Rd
Gahanna, OH 43230-3350
Phone (614) 478-7474
5274 Salem Ave
Trotwood, OH 45426-1702
Phone (937) 837-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.57 of 100
- Quality
- 58.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sightrite Oh LLC | Optometrist | Current | Accepting new patients |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Family First Vision Care Kentucky, LLC | Optometrist | Current | Accepting new patients |
| Mobile Medical Inc | Optometrist | Current | Accepting new patients |
| Family First Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Mobile Medical, Inc. | Past | Accepting new patients | |
| Family First Vision Care Kentucky, LLC | Optometrist | Past | Accepting new patients |
Locations
2850 Centre Dr
Ste 6A
Beavercreek, OH 45324
Phone (937) 294-4060
700 Eastgate South Dr
Ste 200
Cincinnati, OH 45245
Phone (513) 449-1318
2735 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 399-4060
4419 Walnut St
Ste F117
Dayton, OH 45440
3373 Princeton Rd
Ste 121
Fairfield Township, OH 45011
Phone (513) 893-1461
316 S Hamilton Rd
Gahanna, OH 43230
368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
2051 N Bechtle Ave
Ste 130
Springfield, OH 45504
Phone (212) 729-5303
5274 Salem Ave
Trotwood, OH 45426
Phone (937) 837-3937
Interoperability endpoints
- brian.landrum.p19@direct.360care.nextgenshare.com
Organizations & group practices 7
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.
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- Columbus, OH
- NPI 1427462183
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- Optometrist
- Perrysburg, OH
- NPI 1689620015
-
- Dentist
- Perrysburg, OH
- NPI 1629228572
-
- Optometrist
- Beavercreek, OH
- NPI 1164142444
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1801024047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W NORTH ST",
"city": "PIQUA",
"state": "OH",
"postal_code": "453562224",
"telephone_number": "937-916-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423868",
"telephone_number": "513-424-0339",
"fax_number": "513-424-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRUM",
"first_name": "BRIAN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3050880",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.