Thomas M Brenner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5364T Issued in CA

Practice address

52 College Way
Auburn, CA 95603-5001

Phone

(530) 823-8353

Fax

(530) 823-8355

NPI assigned

Mar 25, 2006

Last updated

Jan 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Optometry

Education

Southern California College of Optometry, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CK Vision Optometric, Inc.

  • Optometrist
  • Auburn, CA
  • NPI 1083490510
  NPD
• Tiffany Chin

  dba Thomas Brenner, OD

  • Health Service Clinic/Center
  • Auburn, CA
  • NPI 1811453004
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1649230368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 COLLEGE WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035001",
            "telephone_number": "530-823-8353",
            "fax_number": "530-823-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 COLLEGE WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035001",
            "telephone_number": "530-823-8353",
            "fax_number": "530-823-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5364T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0053640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon McKay Dever, DDS a Dental Corporation (North Auburn Dentistry)
• Eric L Branson, LCSW
• Jana M Branson
• Shehnaaz Brar, OD
• Ruth S Braun, RN
• Holly Brewer
• Brian C Crawford and Paolo a Poidmore a Dental Corporation (Precision Orthodontics)
• Hana Brissey, RDH
• Stacy Brittner, MS
• Edith A Britts, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.