Organization Active NPI

Brentwood Optometric Center

  • Optometrist
  • Brentwood, CA
National Provider Identifier
1164345609
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRENTWOOD OPTOMETRIC CENTER
Practice address
5151 Heidorn Ranch Rd
Brentwood, CA 94513-5596
Phone
(858) 231-4942
NPI assigned
Aug 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Authorized official

Name
Anna Lam, O.D.
Title
Optometrist
Phone
(858) 231-4942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5151 Heidorn Ranch Rd
Brentwood, CA 94513-5596

Mailing address

19922 Summerridge Dr
Castro Valley, CA 94552-5331
Phone (858) 231-4942

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1164345609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19922 SUMMERRIDGE DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525331",
            "telephone_number": "858-231-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 HEIDORN RANCH RD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135596",
            "telephone_number": "858-231-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD OPTOMETRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "858-231-4942",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.