JEANNINE M BRAKE-NORDER (NPI# 1194754879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194754879 |
| Entity Type | Individual |
| Full Name | JEANNINE M BRAKE-NORDER |
| Credential | OD |
| Practice Address |
123 Lansing Street Charlotte MI 48813 |
| Mailing Address |
123 Lansing Street Eye Care Associates of Charlotte Pllc Charlotte MI 48813 |
| Practice Telephone | 5175432020 |
| Practice Fax Number | 5175430311 |
| Mailing Telephone | 5175432020 |
| Mailing Fax Number | 5175430311 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003751 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 410029431 | 01 | |
| MI | PHP OF MID MICHIGAN | 2200102 | 01 |
| MI | BCBS OF MI | JB003751 | 01 |
| Street Address |
123 LANSING STREET |
| City | CHARLOTTE |
| State | MI |
| Zip Code | 48813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1477052702 | Tayla Palacios | Occupational Therapy Assistant | 202 Warren St, Charlotte, MI 48813 | 2018-02-01 |
| 1043359417 | Frederic Wagner | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-05 |
| 1154493971 | Debbie Haymowattee Hallak | Internal Medicine | 616 Meijer St, Charlotte, MI 48813 | 2006-11-15 |
| 1437171485 | Eaton County Health and Rehabilitation Services | Skilled Nursing Facility | 530 W Beech St, Charlotte, MI 48813 | 2006-07-25 |
| 1689694671 | Anthony E Marl | Internal Medicine | 123 Lansing St., Suite 3a, Charlotte, MI 48813 | 2006-07-20 |
| 1922537356 | Linda Gail Sherrill | Counselor | 114 E Lawrence Ave, Suite 130, Charlotte, MI 48813 | 2017-06-08 |
| 1801936000 | John D Curtis | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-07 |
| 1811036262 | Painless Dentistry LLC | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-05 |
| 1114066586 | Abdul Shakfa | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-05 |
| Find all providers in zip 48813 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
| 1992353825 | National Vision Inc | Optometrist | 14141 Steele Creek Rd Ste 400, Charlotte, NC 28273-4231 | 2019-09-04 |
| 1710535778 | Spencer Elise Moore | Optometrist | 100 N Tryon St Ste 280, Charlotte, NC 28202-4004 | 2019-09-03 |
| 1134773534 | Shannon Kirchmer | Optometrist | 4407 Mountain Cove Dr, Charlotte, NC 28216-7787 | 2019-07-25 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1679042741 | Sapounas Optometry Services, LLC | Optometrist | 4704 South Blvd Ste A, Charlotte, NC 28217-2745 | 2018-11-19 |
| 1376012534 | Jannifer Shin | Optometrist | 7615 Colony Rd Ste 105, Charlotte, NC 28226-5018 | 2018-11-17 |
| 1265927040 | Ryan Wirkus | Optometrist | 7808 S Tryon St Ste D, Charlotte, NC 28273-4299 | 2018-06-25 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| 1629522883 | Yesha Gami | Optometrist | 3506 W Tyvola Rd Fl 3, Charlotte, NC 28208-7201 | 2016-08-05 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.