Individual provider Active NPI

Laura K Brown, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1053483313
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14117T Issued in CA
Practice address
4101 Empire Dr Ste 120
Bakersfield, CA 93309-0681
Phone
(661) 325-3937
NPI assigned
Nov 14, 2006
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14117T CA Primary

Addresses

Primary practice location

4101 Empire Dr Ste 120
Bakersfield, CA 93309-0681

Mailing address

12313 Lavina Ave
Bakersfield, CA 93312-6489
Phone (661) 204-2488

Other identifiers 2

IdentifierTypeStateIssuer
200018200-AMedicaidOK
20406OtherOKSPECTERA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141106002590 CA Practitioner - Optometry 1456247246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Eye and Laser Center IncGroup PAC ID 1456392786, 7 clinicians

Practice addresses (Care Compare)

4105 Empire Dr
Bakersfield, CA 93309-0637
Phone (661) 325-3937

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14117TCAMDOptometrist
14117CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Eyecare Inc Optometrist CurrentSince Jun 11, 2024 Accepting new patients
Success Vision Express of Sand Springs, LLC Optometrist PastSince Apr 5, 2009 Accepting new patients
Perini Eyecare, PLLC Optometrist PastSince Dec 23, 2016 Accepting new patients
Dr. Samuel Presley & Associates, Inc. Optometrist Past Accepting new patients
Bipin D. Patel, M.D., Inc. PastSince Oct 11, 2016 Accepting new patients

Locations

1721 Westwind Dr
#B
Bakersfield, CA 93301
Phone (661) 215-1006

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFEADD/Endpoint/HFEADD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1053483313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12313 LAVINA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126489",
            "telephone_number": "661-204-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EMPIRE DR STE 120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090681",
            "telephone_number": "661-325-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LAURA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14117T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200018200-A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA PROVIDER NUMBER",
            "identifier": "20406",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.