Individual provider Active NPI

Brian Norio Higa, O.D.

  • Optometrist
  • Hemet, CA
National Provider Identifier
1295885804
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10130T Issued in CA
Practice address
220 S Lyon Ave
Suite E
Hemet, CA 92543-3851
Phone
(951) 929-3773
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 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 10130T CA Primary

Addresses

Primary practice location

220 S Lyon Ave
Suite E
Hemet, CA 92543-3851

Mailing address

220 S Lyon Ave
Suite E
Hemet, CA 92543-3851
Phone (951) 929-3773

Other identifiers 3

IdentifierTypeStateIssuer
9V12058OtherCAINLAND EMPIRE HEALTH PLAN
02121OtherCAMEDICAL EYE SERVICES
SD0101300MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041223000168 CA Practitioner - Optometry 1557329463 Practice locations: Hemet, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 S Lyon Ave
Suite C
Hemet, CA 92543-3851

220 S Lyon Ave C
Hemet, CA 92543-3851
Phone (951) 929-3773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10130TCAMDOptometrist
10130CAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1295885804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S LYON AVE",
            "address_2": "SUITE E",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433851",
            "telephone_number": "951-929-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S LYON AVE",
            "address_2": "SUITE E",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433851",
            "telephone_number": "951-929-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGA",
        "first_name": "BRIAN",
        "middle_name": "NORIO",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10130T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INLAND EMPIRE HEALTH PLAN",
            "identifier": "9V12058",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "02121",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.