Marisa Denise Brown, ODP

Primary specialty

OptometristTaxonomy code 152W00000X

License

100511 Issued in ID

Practice address

11513 W Fairview Ave Ste 106
Boise, ID 83713-7887

Phone

(208) 322-8439

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, WA2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moscow Family Eye Care IncGroup PAC ID 8921235664, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.76 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75.86

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.

• Moscow Family Eye Care Inc.

  • Ophthalmology Physician
  • Moscow, ID
  • NPI 1467885558

  WA

  Medicare reassignment Care Compare group NPD
• Gem State Family Eyecare, P.C.

  • Optometrist
  • Boise, ID
  • NPI 1154690923
  Medicare reassignment NPD
• Paris Investments LLC

  • Optometrist
  • Moscow, ID
  • NPI 1295875433
  NPD (past)
• Daniel D David

  • Optometrist
  • Pullman, WA
  • NPI 1174826002
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1992321327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W FRANKLIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025530",
            "telephone_number": "206-715-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11513 W FAIRVIEW AVE STE 106",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137887",
            "telephone_number": "208-322-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARISA",
        "middle_name": "DENISE",
        "credential": "ODP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "100511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koalby Brown
• Krista Brown, RD, LD
• Kristin Marie Brown, RN
• Lawrence E Brown, MD
• Lindsay Ann Brown, SLP
• Mary Elizabeth Brown, OTR/L
• Megan Elizabeth Brown, PA-C
• Megan Michelle Brown, LCPC, NCC
• Melinda Brown, OTR/L
• Pamela Brown, PT

• Optometrist in Boise, ID
• Providers in Boise, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.