Active NPI
Brett Ray Greenwood, O.D.
- Optometrist
- Sacramento, CA
National Provider Identifier
1942384110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9408T
- Practice address
- 7309 Stockton Blvd
Suite a
Sacramento, CA 95823-2782 - Phone
- (916) 391-0520
- NPI assigned
- Oct 25, 2006
- 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 | 9408T | CA | Primary |
Addresses
Primary practice location
7309 Stockton Blvd
Suite a
Sacramento, CA 95823-2782
Mailing address
7309 Stockton Blvd
Suite a
Sacramento, CA 95823-2782
Phone (916) 391-0520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0094080 | Medicaid | CA | |
| GSD000020 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7309 Stockton Blvd
A
Sacramento, CA 95823-2782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Optometrist
- Sacramento, CA
- NPI 1689758856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1942384110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7309 STOCKTON BLVD",
"address_2": "SUITE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232782",
"telephone_number": "916-391-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 STOCKTON BLVD",
"address_2": "SUITE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232782",
"telephone_number": "916-391-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "BRETT",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9408T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0094080",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD000020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.