Individual provider Active NPI

Brian D. Bryan, O.D. P.A.

  • Optometrist
  • Miami, FL
National Provider Identifier
1407901648
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC0002907 Issued in FL
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

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
I20091118000359 FL Practitioner - Optometry 5991843690 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OPC0002907FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Laser & Vision Institute, Inc CurrentSince Apr 7, 2019 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.

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

Verify at the official NPI Registry.