Brinckman and Associates CHTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

KS1543 Issued in KS

Legal business name

BRINCKMAN AND ASSOCIATES CHTD

Practice address

16124 W 135TH St
Olathe, KS 66062-1517

Phone

(913) 764-3937

Fax

(913) 764-3947

NPI assigned

May 22, 2008

Last updated

Oct 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul J Brinckman, ODNPI 1952440265

Title

Owner

Phone

(913) 764-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

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.

• Paul J. Brinckman, O.D.

  • Optometrist
  • Olathe, KS
  • NPI 1952440265
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1306003710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3047",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66063",
            "telephone_number": "913-764-3937",
            "fax_number": "913-764-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16124 W 135TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621517",
            "telephone_number": "913-764-3937",
            "fax_number": "913-764-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINCKMAN AND ASSOCIATES CHTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "BRINCKMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-764-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335030A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Kristene Brennan, RN, BSN
• Christina Brenner, LCPC, LCAC
• Karl A Breuckmann, D.D.S.
• Mallory Bridges
• Brighter Days Case Management,Inc.
• Paul J. Brinckman, O.D.
• Amanda Briones, CCC-SLP
• Cynthia Denise Briscoe, PT
• Cheryl Diane Brittain, CRNA
• Kaylah R Brixey

• Optometrist in Olathe, KS
• Providers in Olathe, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.