Eric L. Brodsky, O.D.
Individual provider Active NPI Optometrist · Ocala, FL
NPI 1174511786 · NPPES record last updated Jun 26, 2019
Key facts
- NPI
- 1174511786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OP2580 (FL)
- Practice address
- 2701 SW College Rd Ste 105
Ocala, FL 34474-4436 - Phone
- (352) 237-3798
- Fax
- (352) 237-5235
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 84.52
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040910000082 | FL | Practitioner - Optometry | 5597731562 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP2580 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry M. Perich Dopa | Optometrist | Current |
Accepting new patients |
| Advanced Surgical Mobile Eye Care LLC | Current |
Accepting new patients | |
| Davie Blvd. Vision Center | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
445 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 886-2020
2020 Seven Springs Blvd
New Pt Richey, FL 34655
Phone (727) 372-1311
25 W College Ave
Ste D
Ruskin, FL 33570
Phone (813) 886-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP2580 | FL | Yes |
Addresses
Primary practice location
2701 SW College Rd Ste 105
Ocala, FL 34474-4436
Mailing address
2701 SW College Rd Ste 105
Ocala, FL 34474-4436
Phone (352) 237-3798
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086868000 | Medicaid | FL |
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.