Individual provider Active NPI

Barry Avi Case, O.D.

  • Optometrist
  • Seminole, FL
National Provider Identifier
1730521055
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4974 Issued in FL
Practice address
11212 Park Blvd
Seminole, FL 33772
Phone
(727) 393-1501
NPI assigned
Jul 29, 2013
Last updated
Feb 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4974 FL Primary

Addresses

Primary practice location

11212 Park Blvd
Seminole, FL 33772

Mailing address

4936 Miramar Dr
4410
Madeira Beach, FL 33708
Phone (941) 421-2684

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
I20140825001273 FL Practitioner - Optometry 2668690124 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Eyecare, LLC Optometrist CurrentSince Mar 2, 2022 Accepting new patients
Dr. Barry Case LLC Optometrist CurrentSince Aug 1, 2015 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

11212 Park Blvd
Seminole, FL 33772
Phone (727) 393-1501

2001 E Fowler Ave
Tampa, FL 33612
Phone (813) 972-3465

Networks

  • Freedom Health HMO Network

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, 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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1730521055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 MIRAMAR DR",
            "address_2": "4410",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "941-421-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33772",
            "telephone_number": "727-393-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "BARRY",
        "middle_name": "AVI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.