Bryan Eidal, OD Optometric Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12890 Issued in CA

Legal business name

BRYAN EIDAL, OD OPTOMETRIC INC

Practice address

1630 11TH St
Reedley, CA 93654-2902

Phone

(559) 638-2246

Fax

(559) 638-3777

NPI assigned

Mar 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Eidal, O.D.NPI 1720036569

Title

Owner

Phone

(559) 638-2246

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Eidal, O. D.

  • Optometrist
  • Reedley, CA
  • NPI 1720036569
  Medicare reassignment NPD Authorized official
• Roger A Hayashi, OD

  • Optometrist
  • Fresno, CA
  • NPI 1760442248
  NPD (past)
• CHI Nguyen, O.D.

  • Optometrist
  • Fresno, CA
  • NPI 1740372382
  NPD (past)

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1093038127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542902",
            "telephone_number": "559-638-2246",
            "fax_number": "559-638-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542902",
            "telephone_number": "559-638-2246",
            "fax_number": "559-638-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN EIDAL, OD OPTOMETRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "EIDAL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-638-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3673339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio Medical Applications of California Inc
• Bart B Bishop, DC
• Drew Allen Branch, P.T.
• Kristin Bray
• Sydney Taylor Bray, ASSOCIATES DEGREE
• Christopher Isaac Cabrera, RAD-T
• Cal Family Health, Inc.
• Cal Family Health, Inc.
• Cal Family Health,Inc.
• Cal Family Health,Inc.

• Optometrist in Reedley, CA
• Providers in Reedley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.