MR. BRIAN EDWARD ELLIOTT (NPI# 1760566434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760566434 |
| Entity Type | Individual |
| Full Name | MR. BRIAN EDWARD ELLIOTT |
| Credential | O.D. |
| Practice Address |
6331 Jackson Ave Riverbank CA 95367 |
| Mailing Address |
6331 Jackson Ave Riverbank CA 95367-2733 |
| Practice Telephone | 2098693300 |
| Practice Fax Number | 2098698809 |
| Mailing Telephone | 2098693300 |
| Mailing Fax Number | 2098698809 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9440T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0094401 | 05 | |
| CA | MEDICARE DME PIN | 0723780001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427291418 | Brian Carter Elliott | Nurse Anesthetist, Certified Registered | 6 Elmview Circle, Dover, NH 03820 | 2009-04-07 |
| 1376702928 | Brian Marc Elliott | Internal Medicine | 16 Downer Ave, Scarsdale, NY 10583-4904 | 2008-06-07 |
| 1790990752 | Brian J Elliott | Anesthesiology | 3920 S Rome St, Gilbert, AZ 85297-7366 | 2007-05-13 |
| 1760558985 | Brian Elliott | Dentist | 8880 Edgefield Dr, Colorado Springs, CO 80920-7201 | 2006-11-28 |
| 1255426391 | Brian Gerald Elliott | Podiatrist | 275 West Bassett Rd., Suite 4, Shelbyville, IN 46176 | 2006-10-04 |
| 1134114796 | Brian W Elliott | Internal Medicine | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2005-09-20 |
| 1699234856 | Brian Elliott | Student in an Organized Health Care Education/Training Program | 128 E Apple St, Dayton, OH 45409-2902 | 2019-03-18 |
| 1326448101 | Brian Elliott | Nurse Practitioner | 3131 S Main St, Moultrie, GA 31768-6925 | 2014-08-28 |
| 1336472398 | Brian Keith Elliott | Physician Assistant | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2009-09-09 |
| 1033302609 | Brian Elliott | Specialist/Technologist | 510 Cottage Grove Rd, Bloomfield, CT 06002-3123 | 2007-08-27 |
| Street Address |
6331 JACKSON AVE |
| City | RIVERBANK |
| State | CA |
| Zip Code | 95367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851528236 | Brian E. Elliott, O.d. | Optometrist | 6331 Jackson Ave, Riverbank, CA 95367-2733 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235111 | Adam Lagos | Behavior Technician | 5501 Antique Roseway, Riverbank, CA 95367 | 2018-11-27 |
| 1831407410 | Workplace Wellness Center | Community/Behavioral Health | 2861 Turpin Ave, Riverbank, CA 95367 | 2010-09-17 |
| 1083843940 | Lorraine Marie Romero | Nurse Practitioner | 4150 Patterson Rd, Riverbank, CA 95367 | 2009-07-13 |
| 1043372618 | Riverbank Primary Care Medical Clinic Inc. | Clinic/Center | 3227 Stanislaus St., Ste 'a', Riverbank, CA 95367 | 2006-12-13 |
| 1366518169 | Reni Varghese | Pharmacist | 1777 W. Yosemite Avenue, Manteca, CA 95367 | 2006-11-27 |
| 1861587727 | Steve Byron Benak Jr. | Radiology | 7024 N. Park Ridge Court, Riverbank, CA 95367 | 2006-10-04 |
| 1508879396 | George E Schauf | Family Medicine | 3443 Atchison St, Riverbank, CA 95367 | 2006-08-14 |
| 1356360184 | Lawrence D. Podolsky | Obstetrics & Gynecology | 2603 Patterson Road, Suite 2, Riverbank, CA 95367 | 2006-07-19 |
| 1295704484 | Karen A. Schaaf | Registered Nurse | 1425 West H. Street #380, Oakdale, CA 95367 | 2006-03-17 |
| 1679547897 | Arundati D Halappa | Family Medicine | 4150 Patterson Road, Riverbank, CA 95367 | 2006-02-14 |
| Find all providers in zip 95367 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851528236 | Brian E. Elliott, O.d. | Optometrist | 6331 Jackson Ave, Riverbank, CA 95367-2733 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.