Active NPI
Brian D Tracy, O.D.
- Optometrist
- Sacramento, CA
National Provider Identifier
1356308266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9109T
- Practice address
- 3000 L St
Suite 100
Sacramento, CA 95816-5248 - Phone
- (916) 454-5729
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 9109T | CA | Primary |
Addresses
Primary practice location
3000 L St
Suite 100
Sacramento, CA 95816-5248
Mailing address
3000 L St
Suite 100
Sacramento, CA 95816-5248
Phone (916) 454-5729
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46598 | Other | CA | SAFEGUARD VISION |
| 211188 | Other | CA | EYEMED |
| 00E630000 | Other | CA | DMERC SIGNA |
| 02338 | Other | CA | MEDICAL EYE SERVICES |
| SD0091090 | Medicaid | CA | |
| 410012517 | Other | CA | RAILROAD MEDICARE |
| 34392 | Other | CA | DAVIS VISION |
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 Houston - College of Optometry, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Alhambra Blvd
Suite 202
Sacramento, CA 95816-7050
Phone (916) 731-8040
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.7 of 100
- Quality
- 80.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9109T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Vision Technology Ophthalmology Medical Group Inc. | Current | Accepting new patients | |
| Medical Vision Technology Ophthalmology Medical Group Inc. | Current | Accepting new patients | |
| Brian D Tracy OD | Optometrist | Past | Accepting new patients |
| Brian D Tracy, OD | Optometrist | Past | Accepting new patients |
Locations
1830 Sierra Gardens Dr
Ste 100
Roseville, CA 95661
Phone (916) 782-2111
1700 Alhambra Blvd
Ste 202
Sacramento, CA 95816
Phone (916) 453-2921
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Sacramento, CA
- NPI 1013940519
-
- Optometrist
- Sacramento, CA
- NPI 1093066482
-
- Optometrist
- Sacramento, CA
- NPI 1235314600
-
- Ophthalmology Physician
- Roseville, CA
- NPI 1609809144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1356308266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 L ST",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165248",
"telephone_number": "916-454-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 L ST",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165248",
"telephone_number": "916-454-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "BRIAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9109T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD VISION",
"identifier": "46598",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "211188",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC SIGNA",
"identifier": "00E630000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "02338",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0091090",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410012517",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "34392",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.