Individual provider Active NPI

Brian Thomas Landrum, O.D., M.S.

  • Optometrist
  • Middletown, OH
National Provider Identifier
1801024047
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5876 Issued in OH
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

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3050880MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000741 OH Practitioner - Optometry 3577699875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Family First Vision Care Kentucky LLCGroup PAC ID 3577975291, 19 clinicians
Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Sightrite Oh LLC Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Mobile Medical, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Feb 7, 2024 Accepting new patients
Mobile Medical Inc Optometrist CurrentSince Jul 1, 2010 Accepting new patients
Family First Vision Care, LLC Optometrist CurrentSince Feb 7, 2024 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Family First Vision Care Kentucky, LLC Optometrist PastSince Jul 2, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.