Dorothy Ann Brodmann, OD

Key facts

NPI

1922077916

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

VT0300000300 (VT)

Practice address

5399 Williston Rd Ste 102
Williston, VT 05495-5321

Phone

(802) 864-5428

Fax

(802) 864-1288

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 15

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.

• Myeyedr Optometry of Vermont LLC Optometrist · Williston, VT · NPI 1295245876
  Medicare reassignment Care Compare group NPD OPTOMETRIST · VT
• Visions, Inc Optometrist · Burlington, VT · NPI 1215369285
  Medicare reassignment NPD Authorized official OPTOMETRIST · VT
• Myeyedr Optometry of Virginia PLLC Optometrist · Ashburn, VA · NPI 1174933691
  Medicare reassignment NPD OPTOMETRIST · VA
• Myeyedr Optometry of Virginia, PLLC Optometrist · Falls Church, VA · NPI 1710343744
  Medicare reassignment NPD DC · OPTOMETRIST
• Crystal Vision by DRS. of Optomertry Eyewear Supplier · Stowe, VT · NPI 1649392259
  NPD Authorized official
• Myeyedr Optometry of Vermont LLC Optometrist · Stowe, VT · NPI 1487173464
  NPD OPTOMETRIST
• Myeyedr Optometry of Vermont LLC Optometrist · Burlington, VT · NPI 1760075345
  NPD OPTOMETRIST
• Myeyedr Optometry of Virginia, PLLC Optometrist · Herndon, VA · NPI 1265198071
  NPD OPTOMETRIST
• Myeyedr Optometry of Virginia, PLLC Optometrist · Chesapeake, VA · NPI 1669820304
  NPD OPTOMETRIST
• Myeyedr Optometry of Virginia, PLLC Optometrist · North Chesterfield, VA · NPI 1932075983
  NPD OPTOMETRIST
• Angela C. Howell, O.D., P.a Optometrist · Paragould, AR · NPI 1720112451
  NPD (past) OPTOMETRIST
• Bioserenity DT Inc. Sleep Disorder Diagnostic Clinic/Center · North Olmsted, OH · NPI 1306857792
  NPD (past)
• Digitrace Care Services Inc. Sleep Disorder Diagnostic Clinic/Center · Reston, VA · NPI 1326267873
  NPD (past)
• Myeyedr Optometry of Virginia, PLLC Optometrist · Chantilly, VA · NPI 1376032714
  NPD (past) OPTOMETRIST
• Myeyedr Optometry of West Virginia, PLLC Optometrist · Charles Town, WV · NPI 1639528946
  NPD (past) OPTOMETRIST

Medicare Care Compare profile

Specialty

Optometry

Education

Southern College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Vermont LLC (12 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in VT, DC, VA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2021.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1922077916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 WILLISTON RD STE 102",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054955321",
            "telephone_number": "802-864-5428",
            "fax_number": "802-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODMANN",
        "first_name": "DOROTHY",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "618000255",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "VT0300000300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Williston, VT · Optometrist in Vermont