Individual provider Active NPI

Brian Keith Foutch, O.D.

  • Optometrist
  • Tehachapi, CA
National Provider Identifier
1376612309
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT36143 Issued in CA
Practice address
20231 W Valley Blvd Ste G
Tehachapi, CA 93561-6865
Phone
(661) 822-1212
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5978T TX
Optometrist 152W00000X OPT36143 CA Primary

Addresses

Primary practice location

20231 W Valley Blvd Ste G
Tehachapi, CA 93561-6865

Mailing address

102 Elderberry CT
Tehachapi, CA 93561-8984
Phone (210) 445-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130917000540 TX Practitioner - Optometry 4284878067 Reassigns benefits to 1 organization
I20260109001294 CA Practitioner - Optometry 4284878067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian K Foutch OD IncGroup PAC ID 7911483938, 2 clinicians

Practice addresses (Care Compare)

20231 W Valley Blvd
Suite G
Tehachapi, CA 93561-6865
Phone (661) 822-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT36143CAMDOptometrist
5978TTXMDOptometrist
36143CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian K Foutch OD Inc Optometrist CurrentSince Jan 1, 2026 Accepting new patients
University of the Incarnate Word CurrentSince Jul 13, 2013 Accepting new patients
University of the Incarnate Word Optometrist CurrentSince Jul 13, 2013 Accepting new patients

Locations

20231 W Valley Blvd
Ste G
Tehachapi, CA 93561
Phone (661) 822-1212

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

2547 E Commerce St
San Antonio, TX 78203
Phone (210) 283-6331

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1376612309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELDERBERRY CT",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618984",
            "telephone_number": "210-445-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20231 W VALLEY BLVD STE G",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935616865",
            "telephone_number": "661-822-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTCH",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5978T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT36143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

Verify at the official NPI Registry.