Individual provider Active NPI

Brandi Casey Slapkunas, O.D

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1619257789
Registry record updated Jun 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4608 Issued in FL
Practice address
460 E Nine Mile Rd
Pensacola, FL 32514-1441
Phone
(850) 477-1499
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4608 FL Primary

Addresses

Primary practice location

460 E Nine Mile Rd
Pensacola, FL 32514-1441

Mailing address

460 E Nine Mile Rd
Pensacola, FL 32514-1441
Phone (850) 477-1499

Other names 1

  • Brandi Hicks Casey Former name

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
I20120515000349 FL Practitioner - Optometry 7810150646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas Reynolds OD PAGroup PAC ID 3375584295, 8 clinicians

Practice addresses (Care Compare)

2491 S Ferdon Blvd
Crestview, FL 32536-8463
Phone (850) 682-4014

Merit-based Incentive Payment System (MIPS)

Final score
80.14 of 100Reported as group
Quality
60.29
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Reynolds OD PA Optometrist CurrentSince Apr 3, 2012 Accepting new patients
Douglas Reynolds, O.D. Santa Rosa, P.a. Optometrist CurrentSince Nov 1, 2017 Accepting new patients
F & M of Milton Inc Optometrist PastSince Nov 1, 2017 Accepting new patients

Locations

2491 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 682-4014

5560 Stewart St
Milton, FL 32570
Phone (850) 623-2545

4377 Woodbine Rd
Pace, FL 32571
Phone (850) 995-4555

460 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 266-7500

Organizations & group practices 3

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561852800000",
    "number": "1619257789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141441",
            "telephone_number": "850-477-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141441",
            "telephone_number": "850-477-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAPKUNAS",
        "first_name": "BRANDI",
        "middle_name": "CASEY",
        "name_prefix": "Ms.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2019-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "CASEY",
            "middle_name": "HICKS",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.