Individual provider Active NPI

Bradley David Middaugh, O.D.

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1679575187
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC0002377 Issued in FL
Practice address
1537 Brantley Rd
Unit A2
Fort Myers, FL 33907-3923
Phone
(239) 481-7799
NPI assigned
Aug 15, 2005
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC0002377 FL Primary

Addresses

Primary practice location

1537 Brantley Rd
Unit A2
Fort Myers, FL 33907-3923

Mailing address

1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 480-2135

Other identifiers 2

IdentifierTypeStateIssuer
19695WOtherFLMEDICARE PTAN
078638100MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmiddaugh@centerforsight.intellechartdirect.net
Direct Messaging Address bmiddaugh@useye.intellechartdirect.net

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
I20071015000368 FL Practitioner - Optometry 1456447978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight PLGroup PAC ID 1658340294, 35 clinicians

Practice addresses (Care Compare)

1537 Brantley Rd
Fort Myers, FL 33907-3923
Phone (239) 481-7799

Merit-based Incentive Payment System (MIPS)

Final score
93.76 of 100Reported as individual
Quality
88.66
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC0002377FLMDOptometrist
2377FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight, PL Optometrist CurrentSince Nov 30, 2020 Accepting new patients

Locations

1537 Brantley Rd
Fort Myers, FL 33907
Phone (239) 275-0550

1537 Brantley Rd
#2A
Fort Myers, FL 33907
Phone (239) 481-7799

1537 Brantley Rd
#A2
Fort Myers, FL 33907
Phone (239) 481-7799

1360 E Venice Ave
Venice, FL 34285

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1679575187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-480-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 BRANTLEY RD",
            "address_2": "UNIT A2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073923",
            "telephone_number": "239-481-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDAUGH",
        "first_name": "BRADLEY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0002377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "19695W",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078638100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmiddaugh@centerforsight.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1537 Brantley Rd",
            "address_2": "Unit A2",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339073923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmiddaugh@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1537 Brantley Rd",
            "address_2": "Unit A2",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339073923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.