Active NPI
Amy Michelle Brown, OD
- Optometrist
- Woodland, CA
National Provider Identifier
1265508576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CA 11043T
- Practice address
- 421 Pioneer Ave Ste B
Woodland, CA 95776-4948 - Phone
- (530) 661-0300
- Fax
- (530) 661-0501
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CA 11043T | CA | Primary |
Addresses
Primary practice location
421 Pioneer Ave Ste B
Woodland, CA 95776-4948
Mailing address
421 Pioneer Ave Ste B
Woodland, CA 95776-4948
Phone (530) 661-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0110430 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
421 Pioneer Ave
Suite B
Woodland, CA 95776-4948
Phone (530) 661-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11043 | CA | MD | Mental Health Counselor |
| CA 11043T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes of Woodland Optometry, Apc | Optometrist | Current | Accepting new patients |
Locations
421 Pioneer Ave
Ste B
Woodland, CA 95776
Phone (530) 661-0300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1265508576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 PIONEER AVE STE B",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957764948",
"telephone_number": "530-661-0300",
"fax_number": "530-661-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 PIONEER AVE STE B",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957764948",
"telephone_number": "530-661-0300",
"fax_number": "530-661-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "AMY",
"middle_name": "MICHELLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "CA 11043T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0110430",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.