Active NPI
Brian Keith Deckert, O.D.
- Optometrist
- El Segundo, CA
National Provider Identifier
1881683035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 318
- Practice address
- 2420 Vela Way
Suite 1866
El Segundo, CA 90245-4659 - Phone
- (310) 363-0314
- NPI assigned
- Oct 20, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 318 | NM | Primary |
Addresses
Primary practice location
2420 Vela Way
Suite 1866
El Segundo, CA 90245-4659
Mailing address
16 Perigee Cir
San Pedro, CA 90732-4459
Phone (310) 363-0314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881683035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PERIGEE CIR",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907324459",
"telephone_number": "310-363-0314",
"fax_number": "310-363-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 VELA WAY",
"address_2": "SUITE 1866",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454659",
"telephone_number": "310-363-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKERT",
"first_name": "BRIAN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.