Active NPI
Brian D. Bryan, O.D. P.A.
- Optometrist
- Miami, FL
National Provider Identifier
1407901648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC0002907
- Practice address
- 20354 NW 2ND Ave
Miami, FL 33169-2503 - Phone
- (305) 652-5277
- Fax
- (305) 652-8330
- NPI assigned
- Jan 25, 2007
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC0002907 | FL | Primary |
Addresses
Primary practice location
20354 NW 2ND Ave
Miami, FL 33169-2503
Mailing address
20354 NW 2ND Ave
Miami, FL 33169-2503
Phone (305) 652-5277
Other names 1
- Dr. Don Bryan
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC0002907 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weston Laser & Vision Institute, Inc | Current | Accepting new patients |
Locations
10650 W State Road 84
Ste 100
Davie, FL 33324
Phone (954) 496-9151
4300 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (954) 484-0700
2625 Executive Park Dr
Ste 4
Weston, FL 33331
Phone (954) 484-0742
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Weston, FL
- NPI 1568642676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1407901648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20354 NW 2ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331692503",
"telephone_number": "305-652-5277",
"fax_number": "305-652-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20354 NW 2ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331692503",
"telephone_number": "305-652-5277",
"fax_number": "305-652-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "BRIAN",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "O.D. P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC0002907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DON",
"last_name": "BRYAN",
"prefix": "DR.",
"credential": "O.D.P.A.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.