Individual provider Active NPI

Alexander Moore Brocato, OD

  • Optometrist
  • Venice, FL
National Provider Identifier
1457919656
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5721 Issued in FL
Practice address
1868 S Tamiami TRL
Venice, FL 34293-3160
Phone
(419) 493-9393
Fax
(941) 492-6650
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5721 FL Primary

Addresses

Primary practice location

1868 S Tamiami TRL
Venice, FL 34293-3160

Mailing address

2307 Doud St
Sarasota, FL 34231-6807
Phone (727) 439-0406

Other practice location 1

6541 Superior Ave
Sarasota, FL 34231-5835
Phone (941) 444-7984

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
I20191101000036 FL Practitioner - Optometry 7315279833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard a. Conroy,M.D.PAGroup PAC ID 9739104019, 3 clinicians

Practice addresses (Care Compare)

1868 Tamiami TRL S
Venice, FL 34293-3160
Phone (941) 493-9393

Merit-based Incentive Payment System (MIPS)

Final score
77.15 of 100Reported as group
Quality
100
Improvement activities
40
Cost
23.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Conroy,M.D.PA CurrentSince Jan 1, 2021 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Aug 1, 2019 Accepting new patients
Superior Eyes Optical, Inc Optometrist PastSince Oct 25, 2020 Accepting new patients
Lawrence M Hurvitz, MD PA PastSince Jan 1, 2021 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4001 1st St E
Bradenton, FL 34208
Phone (941) 745-9800

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

77 N Cattlemen Rd
Sarasota, FL 34243
Phone (941) 893-6109

3750 Gunn Hwy
Ste 108
Tampa, FL 33618
Phone (954) 342-0982

1868 S Tamiami Trl
Venice, FL 34293
Phone (941) 493-9393

Interoperability endpoints

  • Direct secure messaging: alexbrocato@veniceeyedoctors.direct.eyemdemr.com

Organizations & group practices 6

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1457919656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 DOUD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316807",
            "telephone_number": "727-439-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 S TAMIAMI TRL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933160",
            "telephone_number": "419-493-9393",
            "fax_number": "941-492-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6541 Superior Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342315835",
            "country_code": "US",
            "telephone_number": "941-444-7984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCATO",
        "first_name": "ALEXANDER",
        "middle_name": "MOORE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.