Active NPI
Noah Dan Brinley, O.D.
- Optometrist
- Long Beach, CA
National Provider Identifier
1396767687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11610T
- Practice address
- 37 Long Beach Blvd
Long Beach, CA 90802-4804 - Phone
- (562) 436-6739
- Fax
- (562) 432-6957
- NPI assigned
- Jul 24, 2006
- Last updated
- Apr 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11610T | CA | Primary |
| Ocularist | 156FX1700X | 11610T | CA |
Addresses
Primary practice location
37 Long Beach Blvd
Long Beach, CA 90802-4804
Mailing address
37 Long Beach Blvd
Long Beach, CA 90802-4804
Phone (562) 436-6739
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
- Southern College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
37 Long Beach Blvd
Long Beach, CA 90802-4804
Phone (562) 436-6739
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11610T | CA | MD | Ocularist |
| 11610 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brinley & Morad Optometry, Inc | Optometrist | Current | Accepting new patients |
Locations
37 Long Beach Blvd
Long Beach, CA 90802
Phone (562) 435-6219
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Long Beach, CA
- NPI 1144233073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587859200000",
"number": "1396767687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024804",
"telephone_number": "562-436-6739",
"fax_number": "562-432-6957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024804",
"telephone_number": "562-436-6739",
"fax_number": "562-432-6957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINLEY",
"first_name": "NOAH",
"middle_name": "DAN",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2020-04-26",
"certification_date": "2020-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11610T",
"primary": true
},
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "CA",
"license": "11610T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.