Organization Active NPI

Brinley & Morad Optometry, Inc

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1144233073
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRINLEY & MORAD OPTOMETRY, INC
Practice address
37 Long Beach Blvd
Long Beach, CA 90802-4804
Phone
(562) 436-6739
Fax
(562) 432-6957
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Dr. Noah Brinley, O.D.NPI 1396767687
Title
President
Phone
(562) 436-6739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

37 Long Beach Blvd
Long Beach, CA 90802-4804

Mailing address

37 Long Beach Blvd
Long Beach, CA 90802-4804
Phone (562) 436-6739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001884 CA Part B Supplier - Clinic/Group Practice 0042100356 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

37 Long Beach Blvd
Long Beach, CA 90802
Phone (562) 435-6219

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1144233073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024804",
            "telephone_number": "562-436-6739",
            "fax_number": "562-432-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024804",
            "telephone_number": "562-436-6739",
            "fax_number": "562-432-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINLEY & MORAD OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "BRINLEY",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-436-6739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.