Individual provider Active NPI

Brandi Shayne Roman, OD

  • Optometrist
  • Butler, PA
National Provider Identifier
1851878748
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003443 Issued in PA
Practice address
400 Butler CMNS
Butler, PA 16001-2496
Phone
(724) 256-9966
Fax
(724) 256-9984
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003443 PA Primary

Addresses

Primary practice location

400 Butler CMNS
Butler, PA 16001-2496

Mailing address

8135 Market St
Youngstown, OH 44512-6244
Phone (330) 758-0900

Other names 1

  • Brandi Shayne Daugherty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180807002674 PA Practitioner - Optometry 5698023638
I20190204002351 OH Practitioner - Optometry 5698023638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Eye Center IncGroup PAC ID 6507827151, 4 clinicians

Practice addresses (Care Compare)

49126 Calcutta Smithferry Rd
East Liverpool, OH 43920-9001
Phone (330) 382-0573

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
80.75
Promoting interoperability
78
Improvement activities
40
Cost
79.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003443PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Stein DO PC PastSince Oct 6, 2021 Accepting new patients

Organizations & group practices 2

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1851878748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126244",
            "telephone_number": "330-758-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BUTLER CMNS",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012496",
            "telephone_number": "724-256-9966",
            "fax_number": "724-256-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "BRANDI",
        "middle_name": "SHAYNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "DAUGHERTY",
            "middle_name": "SHAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.