Active NPI
David John Strunk, O.D.
- Optometrist
- Merritt Island, FL
National Provider Identifier
1427099563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 1371
- Practice address
- 250 N Courtenay Pkwy
Merritt Island, FL 32953-3495 - Phone
- (321) 453-5700
- Fax
- (321) 452-5370
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 | OPC 1371 | FL | Primary |
Addresses
Primary practice location
250 N Courtenay Pkwy
Merritt Island, FL 32953-3495
Mailing address
665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone (321) 984-3200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19267 | Other | FL | BCBS OF FLORIDA |
| 078425700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 1371 | FL | MD | Optometrist |
| 1371 | FL | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Eye Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Merritt Island, FL
- NPI 1194940569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1427099563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 S APOLLO BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011485",
"telephone_number": "321-984-3200",
"fax_number": "321-984-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N COURTENAY PKWY",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533495",
"telephone_number": "321-453-5700",
"fax_number": "321-452-5370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUNK",
"first_name": "DAVID",
"middle_name": "JOHN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 1371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "19267",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078425700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.