Active NPI
Roy Z Braunstein, MD
- Ophthalmology Physician
- Lake Wales, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME42087
- Practice address
- 749 State Road 60 E
Lake Wales, FL 33853-4240 - Phone
- (863) 676-7624
- Fax
- (863) 678-0263
- NPI assigned
- Oct 24, 2007
- Last updated
- May 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME42087 | FL | Primary |
Addresses
Primary practice location
749 State Road 60 E
Lake Wales, FL 33853-4240
Mailing address
749 State Road 60 E
Lake Wales, FL 33853-4240
Phone (863) 676-7624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180020219 | Other | FL | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbraunstein@floridaeye.intellechartdirect.net |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- JS Weill Medical College, Cornell University, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
403 Vonderburg Dr
Brandon, FL 33511-5982
Phone (813) 681-1122
749 State Rd 60
Lake Wales, FL 33853-4240
Phone (863) 676-7624
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.32 of 100
- Quality
- 96.85
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 88 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME42087 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory L Henderson MD Facs Inc | Ophthalmology | Current | Accepting new patients |
| Gregory L Henderson MD Facs Inc | Ophthalmology | Current | Accepting new patients |
| Gregory L Henderson MD Facs Inc | Ophthalmology | Past | Accepting new patients |
Locations
403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122
403 Vonderburg Dr
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122
749 State Road 60 E
Lake Wales, FL 33853
Phone (863) 676-7624
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
dba Florida Eye Specialists and Cataract Institute
- Ophthalmology Physician
- Brandon, FL
- NPI 1306839725
-
- Ophthalmology Physician
- Lake Wales, FL
- NPI 1487643649
-
- Ophthalmology Physician
- Tampa, FL
- NPI 1952139347
-
- Ophthalmology Physician
- Brandon, FL
- NPI 1144214552
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Lake Wales
- General Acute Care Hospital
- Lake Wales, FL
- NPI 1053972760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1235328444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 STATE ROAD 60 E",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534240",
"telephone_number": "863-676-7624",
"fax_number": "863-678-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 STATE ROAD 60 E",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534240",
"telephone_number": "863-676-7624",
"fax_number": "863-678-0263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUNSTEIN",
"first_name": "ROY",
"middle_name": "Z",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-24",
"last_updated": "2024-05-23",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME42087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180020219",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbraunstein@floridaeye.intellechartdirect.net",
"affiliation": "N",
"address_1": "749 STATE ROAD 60 E",
"city": "LAKE WALES",
"state": "FL",
"country_code": "US",
"postal_code": "338534240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.