Individual provider Active NPI

Bethany Ann Barrett, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1437359395
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA13236 Issued in CA
Practice address
2615 Capitol Ave
Sacramento, CA 95816-5904
Phone
(916) 447-2020
Fax
(916) 447-2910
NPI assigned
Jul 19, 2007
Last updated
Feb 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA13236 CA Primary

Addresses

Primary practice location

2615 Capitol Ave
Sacramento, CA 95816-5904

Mailing address

4166 American River Dr
Sacramento, CA 95864-6025
Phone (916) 979-9217

Other names 1

  • Dr. Bethany Ann Bridges Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA13236CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anacleto Gutierrez an Optometric Corporation Optometrist CurrentSince Jul 1, 2018 Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Today's Vision Sugar Land PA Optometrist Past Accepting new patients
Pearle Visioncare Inc Past Accepting new patients

Locations

2615 Capitol Ave
Sacramento, CA 95816
Phone (916) 447-2020

Interoperability endpoints

  • FHIR API: https://2020sugarland.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 8

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1437359395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 AMERICAN RIVER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958646025",
            "telephone_number": "916-979-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CAPITOL AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165904",
            "telephone_number": "916-447-2020",
            "fax_number": "916-447-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA13236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "BRIDGES",
            "middle_name": "ANN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.