Brenda Deforrest, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2617 Issued in FL

Practice address

5006 Dr Phillips Blvd
Orlando, FL 32819-3310

Phone

(407) 298-8819

Fax

(407) 296-7121

NPI assigned

Jan 16, 2007

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Brenda Deforrest OD PA

  • Clinic/Center
  • Orlando, FL
  • NPI 1477733780
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1619029303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OLOLU DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892801",
            "telephone_number": "407-579-6450",
            "fax_number": "407-296-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 DR PHILLIPS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193310",
            "telephone_number": "407-298-8819",
            "fax_number": "407-296-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFORREST",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "credential": "OD, PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolly Normil Defendre, AGACNP-BC
• Dylan Defeo, DPT
• Kayla Defeo
• Stephanie Nicole Defeo, MS, CCC-SLP
• Definitive Beauty L.L.C.
• Caroline Clark Defossez, DO
• Terri Mathers Defranco, CCC-SLP
• Daniel Defrank, CRNA
• Doris A Degaglia
• Nancy Degani

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.