Individual provider Active NPI

Noah Dan Brinley, O.D.

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1396767687
Registry record updated Apr 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11610T Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001872 CA Practitioner - Optometry 2860382173 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
11610TCAMDOcularist
11610CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brinley & Morad Optometry, Inc Optometrist CurrentSince Jan 30, 2004 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.

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

Verify at the official NPI Registry.