Individual provider Active NPI

Rory Dray Brienen, O.D.

  • Optometrist
  • Naples, FL
National Provider Identifier
1194757377
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2980 Issued in FL
Practice address
5435 Park Central Court
Naples, FL 34109-6002
Phone
(239) 597-1555
Fax
(239) 597-3385
NPI assigned
Jul 7, 2006
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2980 FL Primary

Addresses

Primary practice location

5435 Park Central Court
Naples, FL 34109-6002

Mailing address

5435 Park Central CT
Naples, FL 34109-6002
Phone (239) 597-1555

Other practice location 1

3925 Bonita Beach Rd
Bonita Springs, FL 34134-4112
Phone (239) 947-6000

Other practice location 2

2640 Golden Gate Pkwy
Naples, FL 34105-3220
Phone (239) 542-2020

Other identifiers 1

IdentifierTypeStateIssuer
20729OtherFLBCBS OF FLORIDA

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
I20100820000228 FL Practitioner - Optometry 9931233392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians

Practice addresses (Care Compare)

4120 Del Prado Blvd S
Cape Coral, FL 33904-7165
Phone (239) 542-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2980FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Eye Center, P.a. CurrentSince Aug 1, 2018 Accepting new patients
Cape Coral Eye Center, P.a. Optometrist CurrentSince Aug 1, 2018 Accepting new patients
Eye Centers of Florida Optometrist Past Accepting new patients

Locations

3925 Bonita Beach Rd
Bonita Springs, FL 34134
Phone (239) 947-2226

4120 Del Prado Blvd S
Cape Coral, FL 33904

2640 Golden Gate Pkwy
Ste 115
Naples, FL 34105
Phone (239) 649-1650

Interoperability endpoints

  • Direct secure messaging: rbrienen@tysoneye.imwdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1194757377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 PARK CENTRAL CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341096002",
            "telephone_number": "239-597-1555",
            "fax_number": "239-597-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 PARK CENTRAL COURT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341096002",
            "telephone_number": "239-597-1555",
            "fax_number": "239-597-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3925 Bonita Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341344112",
            "country_code": "US",
            "telephone_number": "239-947-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2640 Golden Gate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341053220",
            "country_code": "US",
            "telephone_number": "239-542-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIENEN",
        "first_name": "RORY",
        "middle_name": "DRAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "20729",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.