Individual provider Active NPI

Brian McPartland, OD

  • Optometrist
  • Merlin, OR
National Provider Identifier
1124187000
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7797T Issued in CA
Practice address
200 Admiral Cir
Merlin, OR 97532-8742
Phone
(541) 472-9361
NPI assigned
Dec 7, 2006
Last updated
Jul 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7797T CA Primary

Addresses

Primary practice location

200 Admiral Cir
Merlin, OR 97532-8742

Mailing address

200 Admiral Circle
Merlin, OR 97532-8742
Phone (541) 472-9361

Other identifiers 3

IdentifierTypeStateIssuer
3204ATOtherOROREGON STATE LICENSE (ACTIVE)
7797TOtherCACALIFORNIA STATE LICENSE (INACTIVE)
SD0077970MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7797TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1124187000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ADMIRAL CIRCLE",
            "city": "MERLIN",
            "state": "OR",
            "postal_code": "975328742",
            "telephone_number": "541-472-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ADMIRAL CIR",
            "city": "MERLIN",
            "state": "OR",
            "postal_code": "975328742",
            "telephone_number": "541-472-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPARTLAND",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7797T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE LICENSE (ACTIVE)",
            "identifier": "3204AT",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE (INACTIVE)",
            "identifier": "7797T",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0077970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merlin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.