Brentwood Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRENTWOOD EYE CARE

Practice address

350 John Muir Pkwy Ste 200
Brentwood, CA 94513-5192

Phone

(925) 634-6101

Fax

(925) 634-1380

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Bronge, ODNPI 1689623738

Title

Authorized Official/President

Phone

(925) 634-6101

Specialties & licenses 1

Addresses

Other names 1

• Brentwood Eye Care An Optometry Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew R Bronge, O.D.

  • Optometrist
  • Brentwood, CA
  • NPI 1689623738
  Medicare reassignment NPD Authorized official
• Joyce Ellen Roberts-Evans, O.D.

  • Optometrist
  • Brentwood, CA
  • NPI 1831213990
  NPD (past)
• Acasia (Casey) Marie Wegenke, O.D.

  • Optometrist
  • Laveen, AZ
  • NPI 1457561250
  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1598523706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 JOHN MUIR PKWY STE 200",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135192",
            "telephone_number": "925-634-6101",
            "fax_number": "925-634-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHN MUIR PKWY STE 200",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135192",
            "telephone_number": "925-634-6101",
            "fax_number": "925-634-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "BRONGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PRESIDENT",
        "authorized_official_telephone_number": "925-634-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Eye Care An Optometry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Semaja Brandon
• Carolyn Breaud, LMFT
• Kerry Bremhorst, LMFT
• Josette Claire Brennan, M.A., CCC-SLP
• Brentwood Assisted Living, LLC
• Brentwood Foot and Ankle Clinic, Inc.
• Brentwood Hills Modern Dentistry, Prof. Corp.
• Brentwood Optometric Center
• Brentwood SH Opco, LLC
• Brentwood Surgery Center, LLC

• Optometrist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.