Brandon William Cornish, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC004217 Issued in FL

Practice address

640 N Federal Hwy
Fort Lauderdale, FL 33304-4686

Phone

(954) 522-3918

Fax

(954) 522-5137

NPI assigned

Aug 13, 2007

Last updated

Sep 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Vision Institute of South Florida Inc.

  dba Vision Source Fort Lauderdale

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1386821379
  Medicare reassignment Authorized official
• The Diabetic Place LLC

  • Family Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1104022169
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1396937470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044686",
            "telephone_number": "954-522-3918",
            "fax_number": "954-522-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044686",
            "telephone_number": "954-522-3918",
            "fax_number": "954-522-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNISH",
        "first_name": "BRANDON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC004217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6212671 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Caregiving East LLC
• Cornerstone Caregiving East LLC
• Cornerstone Deliverance & Development Ministries for Christ, Inc
• Cornerstone Recovery Center, Inc.
• Cornerstone Recovery Center, Inc.
• Anthony R. Corral, DMD
• Natalia Correa
• Deborah Corrente, AP, DAOM, CHT
• Brittany Ashley Cortazar, PT, DPT
• Kevin Lee Cortes Gonzalez, MD

• Optometrist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.