Judy Breshears, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

885 Issued in AZ

Practice address

555 N Gilbert Rd
Suite 101
Mesa, AZ 85203-7551

Phone

(480) 827-9184

Fax

(480) 461-0703

NPI assigned

Nov 15, 2006

Last updated

Dec 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Riviera Opticare Inc.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1629261854
  NPD (past)
• Riviera Opticare Inc.

  • Optometrist
  • Mesa, AZ
  • NPI 1972796100
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1437221124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16013 E GLENDORA DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N GILBERT RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037551",
            "telephone_number": "480-827-9184",
            "fax_number": "480-461-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESHEARS",
        "first_name": "JUDY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "885",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP ID",
            "identifier": "DB1051",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00112635",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lois E Brenneman, FNP
• Brent D. Sloten D.O. PLLC (Allure Dermatology)
• Brent H. Mason, DDS, PC
• Martha K Brent
• Kamarie Bresee
• Lisette Breto, PHARM.D
• Randall C. Bretzing, DDS
• Ellen Lorraine Bretzke, RN
• John Brewer
• Jordan Michael Brewer

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.