Bruce Alan Hinkley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5693T Issued in CA

Practice address

1019 16TH St
Modesto, CA 95354-1105

Phone

(209) 526-2737

Fax

(209) 338-0074

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hinkley Optometric Corporation

  • Optometrist
  • Modesto, CA
  • NPI 1407975139
  Medicare reassignment NPD Authorized official
• Sylvan Eye Associates, a Medical Corporation

  • Ophthalmology Physician
  • Modesto, CA
  • NPI 1740279207

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1326037599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 16TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541105",
            "telephone_number": "209-526-2737",
            "fax_number": "209-338-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 16TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541105",
            "telephone_number": "209-526-2737",
            "fax_number": "209-338-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLEY",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5693T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0056930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diandra Hilton, PHD
• Hailey K. Himes
• Robin Rene Hinchman, DC
• Trevon Hinds
• Hinkley Optometric Corporation
• Patricia Ann Hinojos
• Samuel Hinojosa
• Ashley Hinshaw
• Dianne Michelle Hinton, RN, NP
• Jerick Hipolito

• Optometrist in Modesto, CA
• Providers in Modesto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.