Bradley Alan Peltzer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2646 Issued in FL

Practice address

5952 W 16TH Ave
Advanced Eye Care of Hialeah, PA
Hialeah, FL 33012-6814

Phone

(305) 556-6946

Fax

(305) 825-0845

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sevigny and Associates Eye Care, PAGroup PAC ID 3173667110, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sevigny & Associates Eye Care, PA

  • Optometrist
  • Wauchula, FL
  • NPI 1649427543
  Medicare reassignment Care Compare group NPD
• Aran Eye Associates PA

  • Specialist
  • Coral Gables, FL
  • NPI 1295832582
  NPD (past)
• Aran Eye Associates PA

  • Specialist
  • Miami, FL
  • NPI 1710561097
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1396776340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126814",
            "telephone_number": "305-556-6946",
            "fax_number": "305-825-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 W 16TH AVE",
            "address_2": "ADVANCED EYE CARE OF HIALEAH, PA",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126814",
            "telephone_number": "305-556-6946",
            "fax_number": "305-825-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZER",
        "first_name": "BRADLEY",
        "middle_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078929100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giselle Pelayo
• Pelfas Medical Center Corp
• Priscilla Pelletier, MS-SLP-CF
• Pellon Community Services Inc.
• Ashleigh B Pelse
• Dailieny Pena Acosta
• Zulema Pena Araujo
• Lisbet Pena Arencibia
• Daily D Pena Borroto
• Annia Pena Cabrera

• Optometrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.

Verify at the official NPI Registry.