Individual provider Active NPI

Patrick E Brown, OD

  • Optometrist
  • South Miami, FL
National Provider Identifier
1679181747
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5808 Issued in FL
Practice address
5858 SW 68TH St
South Miami, FL 33143-3693
Phone
(305) 661-8588
Fax
(305) 661-6493
NPI assigned
Jul 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 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 5808 FL Primary

Addresses

Primary practice location

5858 SW 68TH St
South Miami, FL 33143-3693

Mailing address

1018 Manatee Rd Apt E304
Naples, FL 34114-3920
Phone (419) 966-3645

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
I20200810001991 FL Practitioner - Optometry 6002231990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A James Segal MD PA MedeyeassociatesGroup PAC ID 6901889542, 7 clinicians

Practice addresses (Care Compare)

5858 SW 68TH St
South Miami, FL 33143-3693
Phone (305) 661-8588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5808FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
A James Segal MD PA Medeyeassociates CurrentSince Mar 1, 2022 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jul 16, 2020 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. PastSince Jul 1, 2020 Accepting new patients
National Vision, Inc. PastSince Jul 16, 2020 Accepting new patients
Inna Ozerov MD PA 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

1918 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3882

8250 NW 27th St
Ste 311
Doral, FL 33122
Phone (305) 238-4901

22907 Lyden Dr
Estero, FL 33928
Phone (239) 908-5453

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

925 NE 30th Ter
Ste 216
Homestead, FL 33033

6355 Naples Blvd
Naples, FL 34109
Phone (239) 216-4366

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

9299 SW 152nd St
Ste 101
Palmetto Bay, FL 33157
Phone (305) 233-8043

2241 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 629-9309

5858 SW 68th St
South Miami, FL 33143
Phone (305) 357-1711

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

10224 E Adamo Dr
Tampa, FL 33619
Phone (813) 315-9898

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1679181747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 MANATEE RD APT E304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143920",
            "telephone_number": "419-966-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 SW 68TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433693",
            "telephone_number": "305-661-8588",
            "fax_number": "305-661-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PATRICK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.