Active NPI
Premier Eyes
- Optometrist
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3010
- Legal business name
- PREMIER EYES
- Practice address
- 13965 W Burleigh Rd Ste 108
Brookfield, WI 53005-3074 - Phone
- (262) 505-5440
- Fax
- (262) 505-5414
- NPI assigned
- Mar 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan A Bell, OD
- Title
- Optometrist
- Phone
- (262) 505-5440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3010 | WI | Primary |
Addresses
Primary practice location
13965 W Burleigh Rd Ste 108
Brookfield, WI 53005-3074
Mailing address
13965 W Burleigh Rd Ste 108
Brookfield, WI 53005-3074
Phone (262) 505-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150520000767 | WI | Part B Supplier - Clinic/Group Practice | 0648590307 |
Receives reassigned benefits from 2 practitioners Practice locations: Brookfield, WI |
| O20151125001934 | WI | DME Supplier - Physician - Optometrist | 0648590307 | Practice locations: Brookfield, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Premier Eyes | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
13965 W Burleigh Rd
Ste 108
Brookfield, WI 53005
Phone (262) 505-5440
7815 W Burleigh St
Milwaukee, WI 53222
Phone (414) 873-5135
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Brookfield, WI
- NPI 1801874185
-
- Optometrist
- Brookfield, WI
- NPI 1225422132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1932591682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13965 W BURLEIGH RD STE 108",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530053074",
"telephone_number": "262-505-5440",
"fax_number": "262-505-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13965 W BURLEIGH RD STE 108",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530053074",
"telephone_number": "262-505-5440",
"fax_number": "262-505-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER EYES",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-03",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "262-505-5440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WI",
"license": "3010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.