Athena Reyes Brasfield, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13362 Issued in CA

Practice address

82227 US Highway 111 Ste B2
Indio, CA 92201-5668

Phone

(760) 347-6636

Fax

(760) 342-5987

NPI assigned

Jul 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Athena Renee Reyes Former name

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

Specialty

Optometry

Education

University of California - School of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athena Brasfield OD a Professional CorporationGroup PAC ID 0749577088, 8 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Athena Brasfield OD a Professional Corporation

  • Optometrist
  • Indio, CA
  • NPI 1821441221
  Medicare reassignment Care Compare group Authorized official
• Dr. Gregory L. McFarland, O.D., P.C

  • Optometrist
  • Palm Springs, CA
  • NPI 1093983074
  NPD (past)
• Studio Optics Optometric Group, Inc.

  • Ophthalmology Physician
  • Santa Clara, CA
  • NPI 1083617302
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1104026962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82227 US HIGHWAY 111 STE B2",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015668",
            "telephone_number": "760-347-6636",
            "fax_number": "760-342-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82227 US HIGHWAY 111 STE B2",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015668",
            "telephone_number": "760-347-6636",
            "fax_number": "760-342-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASFIELD",
        "first_name": "ATHENA",
        "middle_name": "REYES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SD0113621",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SD0113620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATHENA",
            "last_name": "REYES",
            "middle_name": "RENEE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Paul Bowser, DPT
• Boyd Dental Corporation
• Nayera Boyd
• Jessica Tyne Brantley Lopez, RDN
• Michael John Brase, MD
• Jonathan Steele Braslow, M.D.
• Veronica Brassea, DDS
• Mike T Brazil
• Jonathan Brewer
• Terra Bricker, MFT INTERN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.