Individual provider Active NPI

Brett Wendell Perkins, O.D.

  • Optometrist
  • Placerville, CA
National Provider Identifier
1487725032
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA 7653T Issued in CA
Practice address
118 Main St
Placerville, CA 95667-5508
Phone
(530) 622-8300
Fax
(530) 622-8304
NPI assigned
Nov 13, 2006
Reactivated
May 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 111170-9933 UT
Optometrist 152W00000X CA 7653T CA Primary

Addresses

Primary practice location

118 Main St
Placerville, CA 95667-5508

Mailing address

118 Main St
Placerville, CA 95667-5508
Phone (530) 622-8300

Other identifiers 3

IdentifierTypeStateIssuer
7653TOtherCACALIFORNIA OPTOMETRY LICE
111170-9933OtherUTUT OPTOMETRY LICENSE
SD0076530MedicaidCA

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
I20120427000459 CA Practitioner - Optometry 3678735230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 Main St
Placerville, CA 95667-5508
Phone (530) 622-8300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA 7653TCAMDOptometrist
111170-9933UTMDOptometrist

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1487725032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675508",
            "telephone_number": "530-622-8300",
            "fax_number": "530-622-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675508",
            "telephone_number": "530-622-8300",
            "fax_number": "530-622-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "BRETT",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "deactivation_date": "2025-03-31",
        "reactivation_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "111170-9933",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA 7653T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA OPTOMETRY LICE",
            "identifier": "7653T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UT OPTOMETRY LICENSE",
            "identifier": "111170-9933",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0076530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.