Brian Edward Elliott, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9440T Issued in CA

Practice address

6331 Jackson Ave
Riverbank, CA 95367

Phone

(209) 869-3300

Fax

(209) 869-8809

NPI assigned

Oct 25, 2006

Last updated

Sep 1, 2022By 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 2

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

Specialty

Optometry

Education

University of California - School of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garrett William Elliott, OD

  • Optometrist
  • Modesto, CA
  • NPI 1427710706
  Medicare reassignment
• Laurena Carole Krieger, OD

  • Optometrist
  • Escalon, CA
  • NPI 1659438802
  Medicare reassignment
• Cecilia Sze Ka Tong, O.D.

  • Optometrist
  • Modesto, CA
  • NPI 1598107195
  Medicare reassignment

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.

• L Edward Elliott Et Al PTR Elliott L Edward Gen PTR

  • Optometrist
  • Modesto, CA
  • NPI 1760558498
  Medicare reassignment NPD
• Modesto Optometric Vision Center Inc a Professional Optometric Corp

  • Optometrist
  • Modesto, CA
  • NPI 1891415410
  Medicare reassignment NPD
• Brian E. Elliott, O.D.

  dba Riverbank Optometric Center

  • Optometrist
  • Riverbank, CA
  • NPI 1851528236
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1760566434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 JACKSON AVE",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672733",
            "telephone_number": "209-869-3300",
            "fax_number": "209-869-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 JACKSON AVE",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "95367",
            "telephone_number": "209-869-3300",
            "fax_number": "209-869-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9440T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PIN",
            "identifier": "0723780001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0094401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessing Edet
• Lilia Edgell
• Jacob Edwards, BCBA
• Marques Edwards
• Nancy Eke
• Joesph Elliott
• Victoria Elshamy
• David Emele
• Milly Emerson
• Ana Emery

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.