Sophia Boyiu Brodsky, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34596 Issued in CA

Practice address

3395 Michelson Dr Apt 3545
Irvine, CA 92612-4498

Phone

(951) 582-1228

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Julie Edith Chen OD a Professional CorpGroup PAC ID 3375703713, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Julie Edith Chen, O.D. a Professional Corp.

  dba Concourse Optometry

  • Optometrist
  • Irvine, CA
  • NPI 1821373127
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1326659830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 MICHELSON DR APT 3545",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124498",
            "telephone_number": "951-582-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3395 MICHELSON DR APT 3545",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124498",
            "telephone_number": "951-582-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "SOPHIA",
        "middle_name": "BOYIU",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bristol Pharmacy
• Jessica Brito, LCSW
• Broad Reach Specialty Surgery Inc
• Cole Henry Brockhoff
• Katie Lynn Brodie, LMFT
• Barbara Anne Brody
• Annie Brogger, LMFT
• Nasrin Brokhim, D.M.D.
• Michelle C. Bronner, OTR/L
• Nicole Brooker, AGPCNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.

Verify at the official NPI Registry.