James Brauss, PA
Individual provider Active NPI Optometrist · Wilton Manors, FL
NPI 1730189150 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1730189150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC1072 (FL)
- Practice address
- 2301 Wilton Dr
Unit C1
Wilton Manors, FL 33305-1202 - Phone
- (954) 764-6906
- Fax
- (954) 463-7933
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of Florida, LLC
Practice addresses (Care Compare)
2301 Wilton Dr
Suite C1
Wilton Manors, FL 33305-1204
Phone (954) 764-6906
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100226000297 | FL | Practitioner - Optometry | 7214072412 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Florida, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
Locations
3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600
1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601
2301 Wilton Dr
Ste C1
Wilton Manors, FL 33305
Phone (954) 764-6906
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1072 | FL | Yes |
Addresses
Primary practice location
2301 Wilton Dr
Unit C1
Wilton Manors, FL 33305-1202
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3446264 | Other | FL | AETNA |
| 084758500 | Medicaid | FL | |
| 19523 | Other | FL | BLUE CROSS BLUE SHIELD |
| 220833 | Other | FL | AVMED |
Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.