Individual provider Active NPI

Seth H Oppenheim, MD

  • Ophthalmology Physician
  • Sun City Center, FL
National Provider Identifier
1073587952
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME127547 Issued in FL
Practice address
779 Cortaro Dr
Sun City Center, FL 33573-6812
Phone
(813) 213-0020
Fax
(813) 642-7357
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101038183 VA
Ophthalmology Physician 207W00000X ME127547 FL Primary

Addresses

Primary practice location

779 Cortaro Dr
Sun City Center, FL 33573-6812

Mailing address

779 Cortaro Dr
Sun City Center, FL 33573-6812
Phone (813) 213-0020

Other identifiers 2

IdentifierTypeStateIssuer
9ADXCOtherFLFLORIDA BLUE
020954500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address soppenheim@brandoneyeassociates.intellichartdirect.net

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621002581 FL Practitioner - Ophthalmology 4284714437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon Eye Associates PAGroup PAC ID 8022067677, 10 clinicians

Practice addresses (Care Compare)

540 Medical Oaks Ave
Suite 103
Brandon, FL 33511-5995
Phone (813) 684-2211

Merit-based Incentive Payment System (MIPS)

Final score
93.71 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Brandon Eye Associates PA Ophthalmology CurrentSince Aug 25, 2020 Accepting new patients
Palm Coast Eye Center, P.a. Ophthalmology CurrentSince Jul 8, 2020 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Oct 1, 2019 Accepting new patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

5601 21st Ave W
Ste A
Bradenton, FL 34209
Phone (941) 777-5000

540 Medical Oaks Ave
Ste 103
Brandon, FL 33511
Phone (813) 684-2211

1601 W Reynolds St
Ste 100
Plant City, FL 33563
Phone (917) 744-5433

3131 S Tamiami Trl
Ste 201
Sarasota, FL 34239
Phone (941) 777-5000

779 Cortaro Dr
Sun City Center, FL 33573
Phone (813) 213-0020

3894 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 633-0601

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: soppenheim11533@direct.rivhs.com

Organizations & group practices 5

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1073587952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 CORTARO DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-213-0020",
            "fax_number": "813-642-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 CORTARO DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-213-0020",
            "fax_number": "813-642-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIM",
        "first_name": "SETH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101038183",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME127547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "9ADXC",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020954500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soppenheim@brandoneyeassociates.intellichartdirect.net",
            "affiliation": "N",
            "address_1": "779 Cortaro Dr",
            "city": "Sun City Center",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335736812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.