Organization Active NPI

Hinkley Optometric Corporation

  • Optometrist
  • Modesto, CA
National Provider Identifier
1407975139
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5693T Issued in CA
Legal business name
HINKLEY OPTOMETRIC CORPORATION
Practice address
1019 16TH St
Modesto, CA 95354-1105
Phone
(209) 526-2737
Fax
(209) 338-0151
NPI assigned
Mar 27, 2007
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Dr. Bruce Alan Hinkley, O.D.NPI 1326037599
Title
President Optometrist
Phone
(209) 526-2737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5693T CA Primary

Addresses

Primary practice location

1019 16TH St
Modesto, CA 95354-1105

Mailing address

1019 16TH St
Modesto, CA 95354-1105
Phone (209) 526-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070816000962 CA Part B Supplier - Clinic/Group Practice 1052403235 Receives reassigned benefits from 3 practitioners
Practice locations: Modesto, CA
O20100930028883 CA DME Supplier - Physician - Optometrist 1052403235 Practice locations: Modesto, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hinkley Optometric Corp1019 16TH St, Modesto, CA 95354-1105(209) 576-1523 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

Locations

1019 16th St
Modesto, CA 95354
Phone (209) 526-2737

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1407975139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 16TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541105",
            "telephone_number": "209-526-2737",
            "fax_number": "209-338-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 16TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541105",
            "telephone_number": "209-526-2737",
            "fax_number": "209-338-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINKLEY OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "HINKLEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "209-526-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5693T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.