Brett Allen Balocca, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1921 Issued in AZ

Practice address

18631 N 19TH Ave
Suite 130
Phoenix, AZ 85027-5299

Phone

(623) 516-4710

NPI assigned

Jul 19, 2012

Last updated

Feb 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

73.92 of 100Reported as individual

Quality

47.85

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye on Health Co LLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1053786145
  Medicare reassignment
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1093060683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 N 138TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853072006",
            "telephone_number": "623-516-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18631 N 19TH AVE",
            "address_2": "SUITE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275299",
            "telephone_number": "623-516-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOCCA",
        "first_name": "BRETT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0002910",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Balli, DO
• Stephanie Sebille Balliet, RN
• Danuta Ballinger
• Nina Ballinger
• Blerina Balliu, M.D.
• Madison Paige Balog, PHARMD
• Mojisola R Balogun, PMHNP
• Robert Balsmeier, DDS
• Stephanie Balt, M.S., SLP-CCC
• Carlos Andre Balthazar Da Silveira, MD

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.