Individual provider Active NPI

Brian Daniel Roberts, OD

  • Optometrist
  • Davie, FL
National Provider Identifier
1114412384
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5534 Issued in FL
Practice address
3200 S University Dr
Davie, FL 33328-2018
Phone
(954) 262-4200
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5534 FL Primary

Addresses

Primary practice location

3200 S University Dr
Davie, FL 33328-2018

Mailing address

8039 NW 15TH MNR
Plantation, FL 33322-5450
Phone (727) 776-8814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190128001984 FL Practitioner - Optometry 4981941069 Reassigns benefits to 4 organizations
I20191022000630 AL Practitioner - Optometry 4981941069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearle Capstone Eye Associates PLLCGroup PAC ID 1951777929, 5 clinicians

Practice addresses (Care Compare)

1350 4TH St N
Saint Petersburg, FL 33701-1118
Phone (727) 498-5117

6133 Central Ave
Saint Petersburg, FL 33710-8529
Phone (727) 344-3008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5534FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearle Capstone Eye Associates, PLLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
The Eye Physicians of Pinellas, PA Optometrist CurrentSince Aug 1, 2025 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Aug 1, 2025 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham CurrentSince Aug 10, 2019 Accepting new patients
B&B Florida Eye Care PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Mar 18, 2021 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Aug 10, 2019 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jan 16, 2021 Accepting new patients
Eye Associates of Manatee, LLP CurrentSince Mar 18, 2021 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35294

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

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

10934 N Dale Mabry Hwy
Carrollwood, FL 33618
Phone (813) 559-4990

3220 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 723-8706

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

1295 West Bay Dr
Largo, FL 33770
Phone (727) 450-3032

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

148 13th St SW
Ste 200
Largo, FL 33770
Phone (727) 450-3030

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

13555 Highway 54
Ste C
Odessa, FL 33556
Phone (813) 454-0670

7855 113th St
Ste A
Seminole, FL 33772
Phone (727) 317-6174

1350 4th St N
St Petersburg, FL 33701
Phone (727) 498-5117

1601 38th Ave N
St Petersburg, FL 33713
Phone (727) 822-4287

6133 Central Ave
St Petersburg, FL 33710
Phone (727) 344-3008

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

11925 Sheldon Rd
Tampa, FL 33626
Phone (813) 792-0444

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

501 N Howard Ave
Ste 100
Tampa, FL 33606
Phone (813) 253-2727

1601 NW Expressway
Ste 1420
Oklahoma City, OK 73118

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: brian.robertsod.p3@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: brian.roberts.p1@direct.theeyeassociates.nextgenshare.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1114412384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 NW 15TH MNR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225450",
            "telephone_number": "727-776-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.