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Enrollment ID I20100812001073 resolves to a single NPI record. Open the full profile for complete detail.

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NPI · 1538105846 · Active
Mark Brunette O.D.
Optometrist · Ventura, California
Active
NPI
1538105846
Enrollment ID
I20100812001073
Taxonomy
152W00000X
Type
Practitioner - Optometry

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 8935TCA· Issued by CHAMPUS
  • 205153800CA· Issued by US DEPT. OF LABOR
  • WOP8935BCA· Issued by DMERC
  • 8935TCA· Issued by BLUE SHIELD

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.