Organization Active NPI

Topa Topa Optometry, Inc

  • Optometrist
  • Ojai, CA
National Provider Identifier
1235356437
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TOPA TOPA OPTOMETRY, INC
Practice address
1211 Maricopa Hwy
Ste. 101
Ojai, CA 93023
Phone
(805) 646-5109
Fax
(805) 646-3519
NPI assigned
Apr 19, 2007
Last updated
May 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Dr. Bruce Calvin Brockman, O.D.NPI 1922012632
Title
President
Phone
(805) 646-5109

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1211 Maricopa Hwy
Ste. 101
Ojai, CA 93023

Mailing address

1211 Maricopa Hwy
Ste 101
Ojai, CA 93023
Phone (805) 646-5109

Other identifiers 1

IdentifierTypeStateIssuer
GSD004010MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050611000050 CA Part B Supplier - Clinic/Group Practice 6002850088 Receives reassigned benefits from 2 practitioners
Practice locations: Ojai, CA

National Provider Directory

National Provider Directory

Locations

115 Pirie Rd
Ste E
Ojai, CA 93023
Phone (805) 646-5109

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1235356437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MARICOPA HWY",
            "address_2": "STE 101",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "93023",
            "telephone_number": "805-646-5109",
            "fax_number": "805-646-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MARICOPA HWY",
            "address_2": "STE. 101",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "93023",
            "telephone_number": "805-646-5109",
            "fax_number": "805-646-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPA TOPA OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-646-5109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.