Individual provider Active NPI

Alan C Brodney, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1447248349
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8931 Issued in CA
Practice address
10390 Santa Monica Blvd
Suite 320
Los Angeles, CA 90025-5058
Phone
(310) 277-2020
Fax
(310) 553-9418
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8931 CA Primary

Addresses

Primary practice location

10390 Santa Monica Blvd
Suite 320
Los Angeles, CA 90025-5058

Mailing address

10390 Santa Monica Blvd
Ste 320
Los Angeles, CA 90025-5091
Phone (310) 277-2020

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
I20111027000882 CA Practitioner - Optometry 2961670237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10350 Santa Monica Blvd
Suite 120
Los Angeles, CA 90025-5073
Phone (310) 277-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8931CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Alan C Brodney an Optometric Corp Optometrist CurrentSince Apr 1, 1988 Accepting new patients

Locations

10390 Santa Monica Blvd
Ste 320
Los Angeles, CA 90025
Phone (310) 277-2020

10350 Santa Monica Blvd
Ste 120
Los Angeles, CA 90025
Phone (310) 277-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1447248349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD",
            "address_2": "STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255091",
            "telephone_number": "310-277-2020",
            "fax_number": "310-553-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD",
            "address_2": "SUITE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255058",
            "telephone_number": "310-277-2020",
            "fax_number": "310-553-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODNEY",
        "first_name": "ALAN",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.