Individual provider Active NPI

Brittany Highsmith Mulrony, O.D.

  • Optometrist
  • Caldwell, ID
National Provider Identifier
1831486687
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
100227 Issued in ID
Practice address
1702 S Kimball Ave
Caldwell, ID 83605-4826
Phone
(208) 459-2641
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 100227 ID Primary

Addresses

Primary practice location

1702 S Kimball Ave
Caldwell, ID 83605-4826

Mailing address

1702 S Kimball Ave
Caldwell, ID 83605-4826
Phone (208) 459-2641

Other identifiers 3

IdentifierTypeStateIssuer
V71668OtherBLUE CROSS
000010153551OtherREGENCE
1831486687MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220523002283 OR Practitioner - Optometry 9436312865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Center PAGroup PAC ID 3173687944, 6 clinicians

Practice addresses (Care Compare)

350 E LN S
Ontario, OR 97914-3058
Phone (541) 889-2020

Merit-based Incentive Payment System (MIPS)

Final score
66.81 of 100Reported as group
Quality
33.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100227IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Center PA Optometrist CurrentSince May 11, 2022 Accepting new patients
Total Vision PA Optometrist PastSince Jun 16, 2014 Accepting new patients
Hollingshead Eye Center, PC Optometrist Past Accepting new patients
Klemp Optometry Optometrist PastSince Jan 1, 2006 Accepting new patients

Locations

1257 SW 4th Ave
Ontario, OR 97914
Phone (541) 889-2191

350 East Ln S
Ontario, OR 97914
Phone (208) 322-5996

Interoperability endpoints

  • Direct secure messaging: bmulrony.od@familyeyecenter.eyefinity-direct.com

Organizations & group practices 4

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1831486687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S KIMBALL AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054826",
            "telephone_number": "208-459-2641",
            "fax_number": "208-459-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S KIMBALL AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054826",
            "telephone_number": "208-459-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULRONY",
        "first_name": "BRITTANY",
        "middle_name": "HIGHSMITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "100227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "V71668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010153551",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831486687",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.