Brandon James Tibbitts, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT2922 Issued in CO

Practice address

2509 Main St
Alamosa, CO 81101-2239

Phone

(719) 589-0825

NPI assigned

Aug 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mountain Valley Eye Care LLC

  • Optometrist
  • Alamosa, CO
  • NPI 1518739242
  Medicare reassignment NPD Authorized official
• Rocky Mountain Eye Center Inc a Colorado Provider Network

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1073567459

  Optometrist

  Medicare reassignment NPD
• Rocky Mountain Eye Center, Inc. a Colorado Provider Network

  • Ophthalmology Physician
  • Trinidad, CO
  • NPI 1861533457

  Optometrist

  NPD
• John Day Eye Care, Inc.

  • Clinic/Center
  • John Day, OR
  • NPI 1235391392
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1902184534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 MAIN ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012239",
            "telephone_number": "719-589-0825",
            "fax_number": "719-589-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 MAIN ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012239",
            "telephone_number": "719-589-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBITTS",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T3002",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT2922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy L Thompson, MD
• Paige McKenzie Thompson, RN
• Vanessa Thong, LPCC
• Frederic P Thrash, DDS
• Melissa Tibbits
• Donald Dee Tietsema III, NP
• Julia Toczek
• Lindsay Toman
• Total Renal Care Inc
• Bethany Townsend

• Optometrist in Alamosa, CO
• Providers in Alamosa, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.