Robert W Brenart, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046006926 Issued in IL

Practice address

120 E Countryside Pkwy
Yorkville, IL 60560-1877

Phone

(630) 553-6166

Fax

(630) 553-6178

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1881761393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E COUNTRYSIDE PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601877",
            "telephone_number": "630-553-6166",
            "fax_number": "630-553-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E COUNTRYSIDE PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601877",
            "telephone_number": "630-553-6166",
            "fax_number": "630-553-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENART",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006926",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Brasfield, LCSW
• Amy Lynn Braun, MA, LCPC
• Elizabeth Breier, APN
• Brenart Eye Clinic, LLC
• Rob F Brenart, OD
• Caprice Brent
• Bristol Kendall Fire Protection District
• Mike Bruell Jr., LMSW
• Ronald J Buckley
• Kathryn A Buhrt, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.