Individual provider Active NPI

Breeana Alexander, OD

  • Optometrist
  • Temecula, CA
National Provider Identifier
1740946722
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35059-TLG Issued in CA
Practice address
41493 Margarita Rd Ste G109
Temecula, CA 92591-5570
Phone
(951) 296-2211
NPI assigned
Nov 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35059-TLG CA Primary

Addresses

Primary practice location

41493 Margarita Rd Ste G109
Temecula, CA 92591-5570

Mailing address

11980 Casci CT
Nevada City, CA 95959-9138

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
I20230818002218 CA Practitioner - Optometry 0941662167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grass Valley Eye Care Optometric, Inc.Group PAC ID 4082685102, 2 clinicians

Practice addresses (Care Compare)

670 Sutton Way
Grass Valley, CA 95945-5392

998 Plaza Dr
Grass Valley, CA 95945-9532
Phone (530) 273-6000

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as group
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35059CAMDChiropractor
OPT35059-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grass Valley Eye Care Optometric, Inc. Optometrist CurrentSince Aug 7, 2023 Accepting new patients
Patrick W Utnehmer a Proffesional Corporation CurrentSince Nov 21, 2021 Accepting new patients

Locations

998 Plaza Dr
Grass Valley, CA 95945
Phone (530) 272-6000

41493 Margarita Rd
Ste G109
Temecula, CA 92591
Phone (951) 296-2211

Organizations & group practices 2

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": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1740946722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 CASCI CT",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41493 MARGARITA RD STE G109",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915570",
            "telephone_number": "951-296-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "BREEANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35059-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.