Individual provider Active NPI

Amber Perren, OD

  • Optometrist
  • Stuart, FL
National Provider Identifier
1073299723
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6270 Issued in FL
Practice address
6118 SE Federal Hwy
Stuart, FL 34997-8105
Phone
(561) 339-5551
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6270 FL Primary

Addresses

Primary practice location

6118 SE Federal Hwy
Stuart, FL 34997-8105

Mailing address

4095 SE Westfield St
Stuart, FL 34997-6810

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
I20230718002859 FL Practitioner - Optometry 7315307683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care of Okeechobee PAGroup PAC ID 2365795382, 3 clinicians

Practice addresses (Care Compare)

6118 SE Federal Hwy
Stuart, FL 34997-8105
Phone (772) 888-3628

710 S Parrott Ave
Brennan Eye Care
Okeechobee, FL 34974-5138
Phone (863) 467-0595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6270FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care of Okeechobee PA Optometrist CurrentSince Oct 23, 2023 Accepting new patients
Hillmoor Optometric PLLC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
John Patrick Brennan OD PA Optometrist CurrentSince Oct 23, 2023 Accepting new patients

Locations

710 S Parrott Ave
Okeechobee, FL 34974
Phone (863) 467-0595

8960 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 337-6376

Organizations & group practices 4

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1073299723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 SE WESTFIELD ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978105",
            "telephone_number": "561-339-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREN",
        "first_name": "AMBER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.