STEPHANIE GENDAL BROWN (O.D.) – Optometrist, NPI 1265817993

STEPHANIE GENDAL BROWN (O.D.) is a healthcare provider. based in Hartford, Connecticut. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2957 (CT). The NPI Number for STEPHANIE GENDAL BROWN (O.D.) is 1265817993

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE GENDAL BROWN (O.D.)
NPI
1265817993
Phone
(954) 873-9833
Address
553 FARMINGTON AVENUE
Enumeration Date
23 July 2015
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
8602568766
Graduation Year
2015 (11 years ago)
PAC ID
6002116589
Group Practice PAC ID
3678800109
Professional Enrollment ID
I20151207000671
Address ID
CT060371921KE32XXXHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

Provider Addresses for STEPHANIE GENDAL BROWN (O.D.)

  • 553 FARMINGTON AVENUE

    HARTFORD, CT 061053048

    Phone: (954) 873-9833

    Type: Mailing

  • 61 WESTFARMS MALL

    D111

    FARMINGTON, CT 060322631

    Phone: (954) 873-9833

    Type: Location

  • 45 Asylum St

    Hartford, CT 061032208

    Phone: (860) 522-2020

    Type: Location

  • 32 CHAMBERLAIN HWY

    KENSINGTON, CT 060371921

    Phone: (954) 873-9833

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $586.

Total Amount is formed as General ($586) + Research ($0) + Ownership ($0) = $586.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($244).

Total Amount

$586

General + Research + Ownership

Payments

16

Total payment records

General Amount

$586

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151207000671IOptometryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678800109View full group profile
NameSpecialtyState
O P T O M E T R YIL
-CT
O P T O M E T R YOH
O P T O M E T R YCT
O P T O M E T R YCT
O P T O M E T R YCT
-CT
O P T O M E T R YCT
O P T O M E T R YCT
O P T O M E T R YCT

Reviews

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Frequently asked questions

Can I cross-check STEPHANIE GENDAL BROWN (O.D.) using NPI 1265817993?
NPI 1265817993 belongs to STEPHANIE GENDAL BROWN (O.D.); compare other details if you need extra assurance.
Is there an active status for STEPHANIE GENDAL BROWN (O.D.)?
For scheduling context, STEPHANIE GENDAL BROWN (O.D.) is shown as active in the registry.
What kind of doctor is STEPHANIE GENDAL BROWN (O.D.)?
STEPHANIE GENDAL BROWN (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHANIE GENDAL BROWN (O.D.)?
Travel planning: use Hartford, Connecticut as the reference point for STEPHANIE GENDAL BROWN (O.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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