Joel I Brown, O.D.
Individual provider Active NPI Optometrist · Grangeville, ID
NPI 1891780334 · NPPES record last updated Feb 13, 2008
Key facts
- NPI
- 1891780334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0-869 (ID)
- Practice address
- 622 W North St
Grangeville, ID 83530-1240 - Phone
- (208) 983-0260
- Fax
- (208) 983-0047
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
622 W N St
Grangeville, ID 83530-1240
Phone (208) 983-0260
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.29 of 100
- Quality
- 90.58
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 75 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000619 | ID | Practitioner - Optometry | 1658483086 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0-869 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Family Vision, P.C. | Optometrist | Current |
Accepting new patients |
Locations
622 W North St
Grangeville, ID 83530
Phone (208) 903-0260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0-869 | ID | Yes |
Addresses
Primary practice location
622 W North St
Grangeville, ID 83530-1240
Mailing address
622 W North St
Grangeville, ID 83530-1240
Phone (208) 983-0260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0620530001 | Other | ID | MEDICARE DME |
| 000010015436 | Other | ID | REGENCE |
Other providers in Grangeville, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.