Individual provider Active NPI

Brian S Armitage, O.D.

  • Corneal and Contact Management Optometrist
  • Jacksonville, FL
National Provider Identifier
1437154283
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC 2648 Issued in FL
Practice address
8081 Philips Hwy
Suite 9
Jacksonville, FL 32256-7464
Phone
(904) 739-2050
Fax
(904) 733-3304
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC 2648 FL Primary

Addresses

Primary practice location

8081 Philips Hwy
Suite 9
Jacksonville, FL 32256-7464

Mailing address

8081 Philips Hwy
Suite 9
Jacksonville, FL 32256-7464
Phone (904) 739-2050

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
I20040628000051 FL Practitioner - Optometry 8527044171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond 2020 Vision Specialists East LakeGroup PAC ID 4183151848, 3 clinicians

Practice addresses (Care Compare)

4974 Ridgemoor Blvd
Palm Harbor, FL 34685-1744
Phone (626) 257-1249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2648FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond 2020 Vision Specialists East Lake CurrentSince Dec 1, 2024 Accepting new patients
Dr. Ted Brink and Associates PA CurrentSince Jul 1, 2015 Accepting new patients
Dr.Ted Brink & Associates CurrentSince Jul 1, 2015 Accepting new patients
Beyond 2020 Vision Specialists LLC CurrentSince May 31, 2023 Accepting new patients
Monica Brown, OD, PA PastSince Apr 1, 2004 Accepting new patients

Locations

10300 Southside Blvd
Ste 238
Jacksonville, FL 32256
Phone (904) 363-8282

16230 State Road 54
Odessa, FL 33556
Phone (813) 475-5599

4974 Ridgemoor Blvd
Palm Harbor, FL 34685
Phone (626) 257-1249

Organizations & group practices 5

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1437154283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 PHILIPS HWY",
            "address_2": "SUITE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567464",
            "telephone_number": "904-739-2050",
            "fax_number": "904-733-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 PHILIPS HWY",
            "address_2": "SUITE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567464",
            "telephone_number": "904-739-2050",
            "fax_number": "904-733-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMITAGE",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 2648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.