Individual provider Active NPI

Scott Mervyn Brown, O.D.

  • Optometrist
  • Pompano Beach, FL
National Provider Identifier
1013208016
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC004116 Issued in FL
Practice address
5 W Sample Rd
Pompano Beach, FL 33064-3542
Phone
(954) 782-1700
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC004116 FL Primary

Addresses

Primary practice location

5 W Sample Rd
Pompano Beach, FL 33064-3542

Mailing address

5897 NW 49TH LN
Coconut Creek, FL 33073-2320
Phone (954) 304-7850

Other identifiers 1

IdentifierTypeStateIssuer
OPC004116OtherFLOPTOMERIST STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171214002116 FL Practitioner - Optometry 6204194533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8177 Glades Rd
Suite 3
Boca Raton, FL 33434-4063
Phone (561) 479-4765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC004116FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ifocus Optometry Inc Optometrist CurrentSince Jul 6, 2017 Accepting new patients
Family Eyewear PastSince Jul 6, 2017 Accepting new patients

Locations

8177 Glades Rd
Ste 3
Boca Raton, FL 33434
Phone (561) 479-4765

Organizations & group practices 2

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1013208016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5897 NW 49TH LN",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732320",
            "telephone_number": "954-304-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643542",
            "telephone_number": "954-782-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SCOTT",
        "middle_name": "MERVYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC004116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMERIST STATE LICENSE",
            "identifier": "OPC004116",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.