Individual provider Active NPI

Brandi S. Coleman, OD

  • Optometrist
  • Mexico, NY
National Provider Identifier
1932275898
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV-006428 Issued in NY
Practice address
3277 Main St.
Mexico, NY 13114
Phone
(315) 963-8233
NPI assigned
Nov 24, 2006
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV-006428 NY Primary

Addresses

Primary practice location

3277 Main St.
Mexico, NY 13114

Mailing address

9464 Steamship Manhattan
Brewerton, NY 13029-9572
Phone (315) 668-7067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040329000086 NY Practitioner - Optometry 3375435969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

57 N St
Mexico, NY 13114-4302
Phone (315) 963-8233

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV-006428NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Center of Mexico, Inc. Optometrist CurrentSince Sep 1, 2003 Accepting new patients
Oneida Optometric, PLLC Optometrist CurrentSince Jul 1, 2016 Accepting new patients
Poulin Optometric Eyecare , PLLC Optometrist CurrentSince Aug 12, 2018 Accepting new patients
John J Maurillo OD PC Optometrist PastSince May 1, 2002 Accepting new patients
Anthony J Palumbo M D P C Past Accepting new patients
Eye Designs Unlimited Optometry PC Optometrist PastSince Nov 12, 2012 Accepting new patients

Locations

94 Main St
Camden, NY 13316
Phone (315) 245-2443

581 Main St
Oneida, NY 13421
Phone (315) 363-6210

Interoperability endpoints

  • Direct secure messaging: bscoleman@mexicooptometry.eyefinity-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1932275898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9464 STEAMSHIP MANHATTAN",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130299572",
            "telephone_number": "315-668-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 MAIN ST.",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "13114",
            "telephone_number": "315-963-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BRANDI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-006428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, NY

Sources for this page

Verify at the official NPI Registry.