Individual provider Active NPI

Daniel Brinkman, OD

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1932877230
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10302T Issued in TX
Practice address
200 Westgate Pkwy Unit M
Amarillo, TX 79121-1100
Phone
(806) 355-3800
Fax
(806) 242-1060
NPI assigned
Sep 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10302T TX Primary

Addresses

Primary practice location

200 Westgate Pkwy Unit M
Amarillo, TX 79121-1100

Mailing address

200 Westgate Pkwy Unit M
Amarillo, TX 79121-1100
Phone (806) 355-3800

Other identifiers 1

IdentifierTypeStateIssuer
10302TOtherTXTEXAS OPTOMETRY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL docanderson1@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211004000827 TX Practitioner - Optometry 6305244583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley J. Anderson, O.D., P.C.Group PAC ID 3173699246, 3 clinicians

Practice addresses (Care Compare)

200 Westgate Pkwy
Unit M
Amarillo, TX 79121-1100
Phone (806) 355-3800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley J. Anderson, O.D., P.C. Optometrist CurrentSince Oct 1, 2021 Accepting new patients

Locations

200 Westgate Pkwy
Unit M
Amarillo, TX 79121
Phone (806) 355-2244

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.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1932877230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTGATE PKWY UNIT M",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211100",
            "telephone_number": "806-355-3800",
            "fax_number": "806-242-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTGATE PKWY UNIT M",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211100",
            "telephone_number": "806-355-3800",
            "fax_number": "806-242-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "DANIEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10302T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY LICENSE",
            "identifier": "10302T",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "docanderson1@yahoo.com",
            "affiliation": "N",
            "address_1": "200 Westgate Pkwy Unit M",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791211100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.