Individual provider Active NPI

Bruce Calvin Brockman, O.D.

  • Optometrist
  • Ojai, CA
National Provider Identifier
1922012632
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7932T Issued in CA
Practice address
1211 Maricopa Hwy.
Ste. 101
Ojai, CA 93023
Phone
(805) 646-5109
Fax
(805) 646-3519
NPI assigned
Jul 28, 2006
Last updated
May 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7932T CA Primary

Addresses

Primary practice location

1211 Maricopa Hwy.
Ste. 101
Ojai, CA 93023

Mailing address

1211 Maricopa Hwy.
Ste. 101
Ojai, CA 93023
Phone (805) 646-5109

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
I20100723000366 CA Practitioner - Optometry 9739211905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 Maricopa Hwy
Suite 101
Ojai, CA 93023-3165
Phone (805) 646-5109

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7932TCAMDOptometrist
7932CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Third Optometric Care of California Optometrist Current Accepting new patients
Third Optometric Care of California Optometrist CurrentSince Apr 2, 2025 Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Apr 2, 2025 Accepting new patients
Topa Topa Optometry, Inc Optometrist CurrentSince Mar 1, 2000 Accepting new patients
Third Optometric Care of California PC Optometrist Past Accepting new patients

Locations

1211 Maricopa Hwy
Ste 101
Ojai, CA 93023
Phone (805) 646-5109

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

400 O St
Ste 102
Sacramento, CA 95814
Phone (916) 443-3524

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1922012632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MARICOPA HWY.",
            "address_2": "STE. 101",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "93023",
            "telephone_number": "805-646-5109",
            "fax_number": "805-646-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MARICOPA HWY.",
            "address_2": "STE. 101",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "93023",
            "telephone_number": "805-646-5109",
            "fax_number": "805-646-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "BRUCE",
        "middle_name": "CALVIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7932T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

Verify at the official NPI Registry.