Individual provider Active NPI

Brandi N Orr, O.D.

  • Optometrist
  • Sarasota, FL
National Provider Identifier
1225268659
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4728 Issued in FL
Practice address
2601 S Tamiami TRL
Sarasota, FL 34239-4504
Phone
(941) 925-2020
Fax
(941) 330-2200
NPI assigned
Jul 20, 2009
Last updated
Jan 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5886 OH
Optometrist 152W00000X OPC4728 FL Primary

Addresses

Primary practice location

2601 S Tamiami TRL
Sarasota, FL 34239-4504

Mailing address

1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090908000694 OH Practitioner - Optometry 4486709854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mason Vision Center LLCGroup PAC ID 8729367404, 6 clinicians
Springboro Vision, LLCGroup PAC ID 6507120169, 6 clinicians

Practice addresses (Care Compare)

218 Reading Rd
Mason, OH 45040-1665
Phone (513) 398-3886

245 N Main St
Suite 300
Springboro, OH 45066-9171
Phone (937) 748-2955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5886OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Springboro Vision, LLC Optometrist CurrentSince Oct 1, 2019 Accepting new patients
Mason Vision Center, LLC Optometrist CurrentSince Feb 1, 2017 Accepting new patients
Kara S Hampton Optometrist PastSince Oct 1, 2019 Accepting new patients

Locations

218 Reading Rd
Mason, OH 45040
Phone (513) 398-3885

245 N Main St
Ste 300
Springboro, OH 45066
Phone (937) 748-2955

Organizations & group practices 4

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1225268659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394504",
            "telephone_number": "941-925-2020",
            "fax_number": "941-330-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "BRANDI",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5886",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.