Nicholas James Brattis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

120-T Issued in WY

Practice address

400 E 1St St
Suite 314
Casper, WY 82601-2558

Phone

(307) 266-2020

Fax

(307) 234-8074

NPI assigned

Feb 23, 2007

Last updated

May 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Casper Women's Care, PC

  • Obstetrics & Gynecology Physician
  • Casper, WY
  • NPI 1215266705
  NPD (past)
• Spectus RLLP

  • Optometrist
  • Casper, WY
  • NPI 1306282462
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1861527178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "address_2": "SUITE 314",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012558",
            "telephone_number": "307-266-2020",
            "fax_number": "307-234-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "address_2": "SUITE 314",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012558",
            "telephone_number": "307-266-2020",
            "fax_number": "307-234-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTIS",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "120-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104085500",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS KID CARE",
            "identifier": "301361",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "4591070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brain Injury Association of Wyoming (Brain Injury Advocates of Wyoming)
• Theresa A Brandel, RPT
• Diane Marie Branson, PH.D.
• Brant Audiology, LLC (Brant Audiology & Tinnitus)
• Fantasia Marie Brasmer, PPC
• Jacob Bratton, PT, DPT
• Patty Bratton, CMT
• Matthew F Brechtel, CAP
• Danielle Bredenberg
• Freedom Jo Brewbaker, CNAII/MAC

• Optometrist in Casper, WY
• Providers in Casper, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.