Individual provider Active NPI

Brian Paul Denbeste, OD

  • Optometrist
  • Orlando, FL
National Provider Identifier
1245317726
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1632 Issued in FL
Practice address
105 Bonnie Loch CT
Suite a
Orlando, FL 32806-2909
Phone
(407) 245-3636
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OPC1632 FL
Optometrist 152W00000X OPC1632 FL Primary

Addresses

Primary practice location

105 Bonnie Loch CT
Suite a
Orlando, FL 32806-2909

Mailing address

105 Bonnie Loch CT Ste a
Orlando, FL 32806-2909
Phone (407) 245-3636

Other practice location 1

121 Underwood St
Orlando, FL 32806-1111
Phone (407) 245-3636 ext. 0000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071113000530 FL Practitioner - OphthalmologyPractitioner - Optometry 6305934068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Optometry
Education
Illinois College of Optometry at Chicago, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lasik Pro PAGroup PAC ID 2567550213, 2 clinicians

Practice addresses (Care Compare)

105 Bonnie Loch CT
Suite a
Orlando, FL 32806-2909
Phone (407) 245-3636

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lasik Pro PA Optometrist CurrentSince Aug 1, 2007 Accepting new patients
Nazari, LLC PastSince Aug 1, 2007 Accepting new patients

Locations

105 Bonnie Loch Ct
#A
Orlando, FL 32806
Phone (407) 245-3636

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1245317726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BONNIE LOCH CT STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062909",
            "telephone_number": "407-245-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BONNIE LOCH CT",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062909",
            "telephone_number": "407-245-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061111",
            "country_code": "US",
            "telephone_number": "407-245-3636 x0000",
            "fax_number": "407-245-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENBESTE",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OPC1632",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.