LUCILLE HESTER BRONGERSMA O.D.
NPI 1033266218
Optometrist in Santa Rosa, CA

NPI Status: Active since January 03, 2007

Contact Information

3925 OLD REDWOOD HWY
SANTA ROSA, CA
ZIP 95403
Phone: (707) 566-5297

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  • Individual
  • Female
  • Optometrist
  • PECOS Enrolled

About LUCILLE BRONGERSMA

This page provides the complete NPI Profile along with additional information for Lucille Brongersma, a provider established in Santa Rosa, California with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1033266218 assigned on January 2007. The practitioner's primary taxonomy code is 152W00000X with license number 8200T (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1033266218
Provider Name
LUCILLE HESTER BRONGERSMA O.D.
Gender
Female
Entity Type
Individual
Location Address
3925 OLD REDWOOD HWY SANTA ROSA, CA 95403
Location Phone
(707) 566-5297
Mailing Address
4844 GLENCANNON ST SANTA ROSA, CA 95405
Mailing Phone
(707) 538-2482
Is Sole Proprietor?
No
Enumeration Date
01-03-2007
Last Update Date
12-30-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
8200T
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Lucille Brongersma is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95403 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $142
  • Minimum New Patient Price $63.04
  • Maximum New Patient Price $187.01
  • Average New Patient Copayment $35.5
  • Minimum New Patient Copayment $15.76
  • Maximum New Patient Copayment $46.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.94
  • Minimum Established Patient Price $21.02
  • Maximum Established Patient Price $153.4
  • Average Established Patient Copayment $19.48
  • Minimum Established Patient Copayment $5.25
  • Maximum Established Patient Copayment $38.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for LUCILLE HESTER BRONGERSMA O.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033266218
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063461222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 6 + 1 + 2 + 2 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1033266218 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073607438DR. JEFF MILLER MD
Individual
Pediatrics3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5312
1538234489MRS. PHYLLIS A ANGELO CPNP
Individual
Nurse Practitioner (Pediatrics)3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5327
1720137003DR. ROBERT JOHN KEARNS O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5231
1548313638 VALERIE ROGERS HANSEN
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5222
1689728388 IRENE ELIZABETH HOVLAND O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5222
1497892574DR. MICHAELMICHAEL C LEE O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5222
1285165902 TAGHRID ABUELQASEM RPH
Individual
Pharmacist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5306
1922530153 BHUMIKA BHAKTA
Individual
Pharmacist3925 OLD REDWOOD HWY MOB 4 PHARMACY
SANTA ROSA, CA 95403
(707) 566-5306
1982752721KAISER FOUNDATION HEALTH PLAN INC
Organization
Pharmacy (Community/Retail Pharmacy)3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5349
1114064367DR. JANE H LEE-KOIDA O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5342
1144327248DR. CHRISTINE W KU M.D.
Individual
Specialist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5452
1437211380MS. BONNIE OLSEN MCDONELL NP
Individual
Nurse Practitioner3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5262
1548343668 KATHLEEN A HAAS PNP
Individual
Nurse Practitioner (Pediatrics)3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5326
1649259615 KRISTIN RENEE STEUERLE MD
Individual
Pediatrics3925 OLD REDWOOD HWY STEIN BUILDING, KAISER PERMANENTE PEDIATRICS
SANTA ROSA, CA 95403
(707) 571-4033
1699831800MR. JAMES ALEXANDER OROSZ
Individual
Optometrist3925 OLD REDWOOD HWY THE PERMANENTE MEDICAL GROUP, INC.
SANTA ROSA, CA 95403
(707) 566-5222
1710014725 ADRIENNE M SILVER
Individual
Pediatrics3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5303
1881936276 GARY YIP MD
Individual
Ophthalmology3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-7073
1922395979DR. VANESSA LEE DESOUSA D.O.
Individual
Pediatrics3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 393-4033
1609042811DR. ERIC KEONI VIERRA O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-6060
1780737809 ROSE KAW O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033266218, enumerated in the NPI registry as an "individual" on January 03, 2007

The provider is located at 3925 Old Redwood Hwy Santa Rosa, Ca 95403 and the phone number is (707) 566-5297

The provider's speciality is Optometrist with taxonomy code 152W00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $142 with an average copayment of $35.5 for new patient appointments. Established patients should expect a typical charge of $77.94 and an average copayment of 19.48. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on January 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.