Active NPI
Brandon G Lesueur, O.D.
- Optometrist
- Lincoln, CA
National Provider Identifier
1831281880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10061
- Practice address
- 845 Twelve Bridges Dr
Ste 130
Lincoln, CA 95648-8819 - Phone
- (916) 231-0034
- Fax
- (916) 231-0038
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10061 | CA | Primary |
Addresses
Primary practice location
845 Twelve Bridges Dr
Ste 130
Lincoln, CA 95648-8819
Mailing address
845 Twelve Bridges Dr
Suite 130
Lincoln, CA 95648-8819
Phone (916) 645-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10061 | Other | CA | LICENSE NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110517000689 | CA | Practitioner - Optometry | 5193901643 | Practice locations: Lincoln, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
845 Twelve Bridges Dr
Lincoln, CA 95648-8819
Phone (916) 645-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10061 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacramento Eye Consultants a Med Corp | Optometrist | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Sacramento, CA
- NPI 1730253287
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831281880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 TWELVE BRIDGES DR",
"address_2": "SUITE 130",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956488819",
"telephone_number": "916-645-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 TWELVE BRIDGES DR",
"address_2": "STE 130",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956488819",
"telephone_number": "916-231-0034",
"fax_number": "916-231-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESUEUR",
"first_name": "BRANDON",
"middle_name": "G",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "10061",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.