Individual provider Active NPI

Ronald R Pierce, OD

  • Optometrist
  • Brandon, FL
National Provider Identifier
1346368768
Registry record updated May 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3039 Issued in FL
Practice address
1933 W Brandon Blvd
Brandon, FL 33511-4813
Phone
(813) 662-2200
Fax
(813) 662-2140
NPI assigned
Mar 26, 2007
Last updated
May 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3039 FL Primary

Addresses

Primary practice location

1933 W Brandon Blvd
Brandon, FL 33511-4813

Mailing address

1933 W Brandon Blvd
Brandon, FL 33511-4813
Phone (813) 662-2200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000658 FL Practitioner - Optometry 6305007527 Practice locations: Valrico, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2615 E State Rd
Suite 60
Valrico, FL 33594-3800
Phone (813) 662-2200

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
Maximods LLC Optometrist CurrentSince Apr 6, 2023 Accepting new patients
Maxim-Eyes Optical, Inc Optometrist Past Accepting new patients
Family Vision Inc Past Accepting new patients

Locations

2615 E State Road 60
Valrico, FL 33594
Phone (813) 653-9661

Networks

  • Freedom Health HMO Network

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, 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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306713600000",
    "number": "1346368768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114813",
            "telephone_number": "813-662-2200",
            "fax_number": "813-662-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114813",
            "telephone_number": "813-662-2200",
            "fax_number": "813-662-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "RONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.