Individual provider Active NPI

Brad Daniel Masuga, O.D.

  • Optometrist
  • Lakewood Ranch, FL
National Provider Identifier
1578700670
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4222 Issued in FL
Practice address
8210 Lakewood Ranch Blvd Ste 101
Lakewood Ranch, FL 34202-5331
Phone
(941) 362-2020
Fax
(941) 718-4926
NPI assigned
Jan 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4222 FL Primary
Optometrist 152W00000X 4901004433 MI

Addresses

Primary practice location

8210 Lakewood Ranch Blvd Ste 101
Lakewood Ranch, FL 34202-5331

Mailing address

5614 Nectar CV
Bradenton, FL 34211-4085

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
I20100617000467 FL Practitioner - Optometry 4789714726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infocus Family Eyecare LLCGroup PAC ID 7012140270, 2 clinicians

Practice addresses (Care Compare)

8210 Lakewood Ranch Blvd
Suite 101
Lakewood Ranch, FL 34202-5331
Phone (305) 582-3574

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.8
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4222FLMDOptometrist
4901004433MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Infocus Family Eyecare LLC Optometrist CurrentSince Mar 7, 2014 Accepting new patients

Locations

8210 Lakewood Ranch Blvd
Ste 101
Lakewood Ranch, FL 34202
Phone (941) 362-2020

8120 Lakewood Main St
#B101
Lakewood Ranch, FL 34202

8120 Lakewood Main St
Ste 101
Lakewood Ranch, FL 34202
Phone (941) 282-5883

Interoperability endpoints

  • Direct secure messaging: brad.masuga@direct.revolutionehr.com

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": "1231632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1578700670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 NECTAR CV",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 LAKEWOOD RANCH BLVD STE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025331",
            "telephone_number": "941-362-2020",
            "fax_number": "941-718-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUGA",
        "first_name": "BRAD",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-11",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4222",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.