Brad J Waronicki, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2404 Issued in FL

Practice address

2626 SE Willoughby Blvd
Stuart, FL 34994-4700

Phone

(772) 286-4878

Fax

(772) 286-4368

NPI assigned

Sep 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brad J Waronicki, O.D., P.a.

  • Optician
  • Stuart, FL
  • NPI 1205955663

  Optometrist

  Medicare reassignment NPD Authorized official
• Michael Fogt P a

  • Optometrist
  • Stuart, FL
  • NPI 1841409505
  NPD (past)
• Ocean Optical PLLC

  • Optometrist
  • Stuart, FL
  • NPI 1033586086
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1104013069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944700",
            "telephone_number": "772-286-4878",
            "fax_number": "772-286-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944700",
            "telephone_number": "772-286-4878",
            "fax_number": "772-286-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARONICKI",
        "first_name": "BRAD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Martin Ward, OD
• Talise R Ward
• Taylor Ward
• Tiffany Marie Ward
• Kyiesha Ware
• Haleema Warraiat
• Aaronique Marie Warren
• Alfred B. Warren, D.D.S.
• Cynthia Warren
• Danielle Warren

• Optometrist in Stuart, FL
• Providers in Stuart, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.