Organization Active NPI

Bream Optometry, Inc.

  • Optometrist
  • Goleta, CA
National Provider Identifier
1427410406
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10171 TLG Issued in CA
Legal business name
BREAM OPTOMETRY, INC.
Doing business as
Bream Optometry, Inc.
Practice address
7095 Market Place Dr
Goleta, CA 93117-5905
Phone
(805) 562-1300
Fax
(805) 562-1301
NPI assigned
Mar 28, 2016
Last updated
Mar 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Dr. Cory Bream, O.D.NPI 1053468439
Title
President
Phone
(805) 451-4531

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 10171 TLG CA Primary

Addresses

Primary practice location

7095 Market Place Dr
Goleta, CA 93117-5905

Mailing address

7095 Market Place Dr
Goleta, CA 93117-5905
Phone (805) 562-1300

Other names 1

  • Bream Optometry, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200409001778 CA Part B Supplier - Clinic/Group Practice 4385073568 Receives reassigned benefits from 12 practitioners
Practice locations: Goleta, CA

National Provider Directory

National Provider Directory
Tax ID family
Bream Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7095 Market Place Dr
Santa Barbara, CA 93117
Phone (805) 562-1300

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1427410406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 MARKET PLACE DR",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931175905",
            "telephone_number": "805-562-1300",
            "fax_number": "805-562-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 MARKET PLACE DR",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931175905",
            "telephone_number": "805-562-1300",
            "fax_number": "805-562-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAM OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "BREAM",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-451-4531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10171 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bream Optometry, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.