Active NPI
Brice Alan Roselli, O.D.
- Optometrist
- Vero Beach, FL
National Provider Identifier
1194768135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3612
- Practice address
- 333 17TH St
Suite G
Vero Beach, FL 32960-5670 - Phone
- (772) 978-0845
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3612 | FL | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OPC 3612 | FL |
Addresses
Primary practice location
333 17TH St
Suite G
Vero Beach, FL 32960-5670
Mailing address
333 17TH St
Suite G
Vero Beach, FL 32960-5670
Phone (772) 978-0845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20015A | Other | FL | BCBSOFFL PROVIDER # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 17TH St
Suite G
Vero Beach, FL 32960-5672
Phone (772) 978-0845
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3612 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Eye Associates PA | Optometrist | Current | Accepting new patients |
| Treasure Coast Eye Associates, PA | Current | Accepting new patients | |
| Delrowe Eye Care, PA | Past | Accepting new patients |
Locations
333 17th St
Ste G
Vero Beach, FL 32960
Phone (772) 569-2214
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.
-
- Optometrist
- Vero Beach, FL
- NPI 1316098213
-
- Eyewear Supplier
- Vero Beach, FL
- NPI 1669664660
-
- Ophthalmology Physician
- Port St Lucie, FL
- NPI 1760412456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1194768135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 17TH ST",
"address_2": "SUITE G",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605670",
"telephone_number": "772-978-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 17TH ST",
"address_2": "SUITE G",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605670",
"telephone_number": "772-978-0845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSELLI",
"first_name": "BRICE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3612",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OPC 3612",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSOFFL PROVIDER #",
"identifier": "20015A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.