Individual provider Active NPI

Bradley Scott Giedd, O.D., M.S.

  • Optometrist
  • Winter Park, FL
National Provider Identifier
1679551444
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3115 Issued in FL
Practice address
1928 Howell Branch Rd
Winter Park, FL 32792-1013
Phone
(407) 671-5445
Fax
(407) 671-2899
NPI assigned
Jan 3, 2006
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3115 FL Primary

Addresses

Primary practice location

1928 Howell Branch Rd
Winter Park, FL 32792-1013

Mailing address

1928 Howell Branch Rd
Winter Park, FL 32792-1013
Phone (407) 671-5445

Other identifiers 1

IdentifierTypeStateIssuer
6205780MedicaidFL

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
I20040902001264 FL Practitioner - Optometry 6305812116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schott Vision Care PAGroup PAC ID 0941427330, 2 clinicians

Practice addresses (Care Compare)

668 N Orlando Ave
Suite 1007
Maitland, FL 32751-4460

Kindred Optics 668 N Orlando Ave
Suite 1007
Maitland, FL 32751-4460
Phone (407) 647-2020

Merit-based Incentive Payment System (MIPS)

Final score
83.13 of 100Reported as group
Quality
66.27
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Schott Vision Care PA Optometrist CurrentSince Jan 23, 2017 Accepting new patients
Kelley Eye, LLC Optometrist CurrentSince Jul 10, 2022 Accepting new patients
Garay Eye Care and Surgery Center PA PastSince Jan 31, 2021 Accepting new patients
Eugenio F Bird MD PA Optometrist PastSince Jan 1, 2000 Accepting new patients
Mid Florida Eye Center PA Optometrist Past Accepting new patients
Oviedo Vision Center PA Optometrist PastSince Jun 18, 2007 Accepting new patients

Locations

600 S Orlando Ave
Ste 300
Maitland, FL 32751
Phone (407) 647-2020

668 N Orlando Ave
Ste 1007
Maitland, FL 32751
Phone (407) 647-2020

1928 Howell Branch Rd
Winter Park, FL 32792
Phone (407) 671-5445

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1679551444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921013",
            "telephone_number": "407-671-5445",
            "fax_number": "407-671-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921013",
            "telephone_number": "407-671-5445",
            "fax_number": "407-671-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEDD",
        "first_name": "BRADLEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6205780",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.