Organization Active NPI

Brandon Eyes, Inc.

  • Optometrist
  • Middleton, WI
National Provider Identifier
1851499313
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2779-035 Issued in WI
Legal business name
BRANDON EYES, INC.
Practice address
8406 Old Sauk Rd
Middleton, WI 53562-4367
Phone
(608) 833-7256
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Norman Alan Brandon, O.D.NPI 1538267075
Title
Owner
Phone
(608) 833-7256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 6

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824001149 WI Part B Supplier - Clinic/Group Practice 5395719413 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, WI; Middleton, WI

National Provider Directory

National Provider Directory

Locations

6122 Mineral Point Rd
Madison, WI 53705
Phone (608) 833-0301

6614 Mineral Point Rd
Madison, WI 53705
Phone (608) 833-0301

8406 Old Sauk Rd
Middleton, WI 53562
Phone (608) 833-7256

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2779-035 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

8406 Old Sauk Rd
Middleton, WI 53562-4367

Mailing address

8406 Old Sauk Rd
Middleton, WI 53562-4367
Phone (608) 833-7256

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851499313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 OLD SAUK RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535624367",
            "telephone_number": "608-833-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 OLD SAUK RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535624367",
            "telephone_number": "608-833-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON EYES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-833-7256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2779-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.