Brandy Lynn Vaughn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.009439 Issued in IL

Practice address

106 W Barnett Ave
Forsyth, IL 62535-1117

Phone

(217) 877-7900

NPI assigned

Feb 25, 2007

Last updated

Aug 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Macon County Eye Center PC

  • Ophthalmology Physician
  • Decatur, IL
  • NPI 1932200094
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440201600000",
    "number": "1841326964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 S CEDAR HILL DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214164",
            "telephone_number": "217-428-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W BARNETT AVE",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625351117",
            "telephone_number": "217-877-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2015-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toofan Medical Holdings, LTD (Central Illinois Urgent Care)
• TP Health TX PC (TP Health TX)
• Stacy Anne Twenhafel, O.D.
• Krishna Vaghasia
• Vatsala Maheshwari PC (Aspen Dental)
• Vep Il Optometric LLC
• Casey Christopher Vercruysse, PA-C
• Rehmatben Vohra, DENTIST
• Michael M Wall, M.D.
• David Nickolas Weis, LCPC

• Optometrist in Forsyth, IL
• Providers in Forsyth, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2015; 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.