Individual provider Active NPI

Brenda S Coen, O.D.

  • Vision Therapy Optometrist
  • Citrus Heights, CA
National Provider Identifier
1104918739
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
9592 Issued in CA
Practice address
5959 Greenback LN
Suite 130
Citrus Heights, CA 95621-4700
Phone
(916) 726-1818
Fax
(916) 726-1822
NPI assigned
Sep 29, 2006
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 9592 CA Primary

Addresses

Primary practice location

5959 Greenback LN
Suite 130
Citrus Heights, CA 95621-4700

Mailing address

5959 Greenback LN
Suite 130
Citrus Heights, CA 95621-4700
Phone (916) 726-1818

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
I20041218000056 CA Practitioner - Optometry 6103882444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri, Columbia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6809 Five Star Blvd
Suite 100a
Rocklin, CA 95677-2687
Phone (916) 624-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9592CAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center Optometrics, a Professional Corporation Current Accepting new patients
Eye Center Optometrics, a Professional Corporation CurrentSince Nov 23, 2004 Accepting new patients
Eye Center Optometrics, a Professional Corporation CurrentSince Nov 23, 2004 Accepting new patients
Eyecenter Optometrics, a Professional Corporation Past Accepting new patients

Locations

5959 Greenback Ln
Ste 130
Citrus Hts, CA 95621
Phone (916) 726-1818

421 Blue Ravine Rd
Ste 300
Folsom, CA 95630
Phone (916) 452-4706

2200 Sunrise Blvd
Ste 120
Gold River, CA 95670
Phone (916) 852-1600

6809 Five Star Blvd
Ste 100A
Rocklin, CA 95677
Phone (916) 624-2020

2831 J St
Sacramento, CA 95816
Phone (916) 441-5800

Organizations & group practices 4

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1104918739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN",
            "address_2": "SUITE 130",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-726-1818",
            "fax_number": "916-726-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN",
            "address_2": "SUITE 130",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-726-1818",
            "fax_number": "916-726-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEN",
        "first_name": "BRENDA",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "9592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.