Individual provider Active NPI

Eric Robert Straut, O.D.

  • Optometrist
  • Melbourne, FL
National Provider Identifier
1194158337
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4816 Issued in FL
Practice address
175 E Nasa Blvd Ste 100
Melbourne, FL 32901-1998
Phone
(321) 805-3700
Fax
(321) 392-6508
NPI assigned
Aug 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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 OPC4816 FL Primary

Addresses

Primary practice location

175 E Nasa Blvd Ste 100
Melbourne, FL 32901-1998

Mailing address

175 E Nasa Blvd Ste 100
Melbourne, FL 32901-1998
Phone (321) 805-3700

Other practice location 1

5055 Babcock St NE Ste 6
Palm Bay, FL 32905-4673
Phone (321) 805-3700

Other practice location 2

150 S Woods Dr Ste B
Rockledge, FL 32955-3262
Phone (321) 805-3700

Other identifiers 1

IdentifierTypeStateIssuer
OPC4816OtherFLOPTOMETRY LICENSE

Other names 1

  • Dr. Eric Robert Straut Professional name

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
I20130911000373 FL Practitioner - Optometry 3870737984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Eye Consultants, LLCGroup PAC ID 8325420664, 6 clinicians

Practice addresses (Care Compare)

175 E Nasa Blvd
Suite 100
Melbourne, FL 32901-1998
Phone (321) 805-3700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
95.54 of 100Reported as individual
Quality
91.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Retina Consultants Past Accepting new patients
Eyewearllc PastSince Aug 12, 2013 Accepting new patients

Organizations & group practices 3

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": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1194158337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E NASA BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011998",
            "telephone_number": "321-805-3700",
            "fax_number": "321-392-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E NASA BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011998",
            "telephone_number": "321-805-3700",
            "fax_number": "321-392-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5055 Babcock St NE Ste 6",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054673",
            "country_code": "US",
            "telephone_number": "321-805-3700",
            "fax_number": "321-392-6508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Woods Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553262",
            "country_code": "US",
            "telephone_number": "321-805-3700",
            "fax_number": "321-392-6508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAUT",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "OPC4816",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "STRAUT",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.