Brad J Waronicki, O.D., P.a.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO 2488 Issued in FL

Legal business name

BRAD J WARONICKI, O.D., P.A.

Practice address

2626 SE Willoughby Blvd
Stuart, FL 34994-4700

Phone

(772) 286-4878

Fax

(772) 286-4368

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brad J Waronicki, O.D.NPI 1104013069

Title

President

Phone

(772) 286-4878

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Treasure Coast Eye & Vision Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brad J Waronicki, OD

  • Optometrist
  • Stuart, FL
  • NPI 1104013069
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205955663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944700",
            "telephone_number": "772-286-4878",
            "fax_number": "772-286-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944700",
            "telephone_number": "772-286-4878",
            "fax_number": "772-286-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD J WARONICKI, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WARONICKI",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-286-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2404",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO 2488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "49671",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "20272",
            "identifier": "20272",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METCARE",
            "identifier": "168",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Coast Eye & Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Boyer
• Tami Lynn Boyer
• Taya Brooke Boyer
• Bohdan Boytsov, DO
• Thalia Boza
• Cole Parker Bradbury
• Annette Rena Braddock
• A. James Bradley, M.D.
• Alexis Bradley
• Donovan Craig Bradley

• Optician in Stuart, FL
• Providers in Stuart, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.