Brendan Nicholas Tribastone, OD
NPI 1396673323ActiveIndividual· Student in an Organized Health Care Education/Training Program· Powell, OH
Student in an Organized Health Care Education/Training Program (OD) in Powell, Ohio, trained at Ohio State University - College of Optometry (class of 2026). Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1396673323 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | May 11, 2026 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (OH) |
|---|
Education and affiliations
| Medical school | Ohio State University - College of Optometry |
|---|---|
| Graduation year | 2026 |
| Medicare specialty | Optometry |
Medical group
- Optometric Management Group LLCPowell, OH · 41 clinicians
Other Student in an Organized Health Care Education/Training Program providers in Powell
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