Micah Dray Brienen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4003 Issued in FL

Practice address

17966 N Tamiami TRL # 160
North Fort Myers, FL 33903-1414

Phone

(239) 543-3336

Fax

(239) 335-1989

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

99.9 of 100Reported as group

Quality

99.8

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• St Michaels Eye & Laser Institute Inc

  • Specialist
  • Largo, FL
  • NPI 1598726325
  Medicare reassignment NPD
• Eye Associates of Tallahassee, P.a. Dba Eye Associates of North Florida

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1750388203
  NPD (past)
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)
• Regency Eye Care LLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1912151606
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1770527525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019310",
            "telephone_number": "239-335-1944",
            "fax_number": "239-939-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17966 N TAMIAMI TRL # 160",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339031414",
            "telephone_number": "239-543-3336",
            "fax_number": "239-335-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIENEN",
        "first_name": "MICAH",
        "middle_name": "DRAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omaida D. Borjas, NP
• Julie Bowditch, DPT
• Alexandra G Bowen Cruzati, MASSAGE THERAPIST
• Karen Boyer, MPT
• Susana Bravo Carpente, RBT
• Brooklyn Ripley
• Crystal Marie Broussard, AU.D.
• Katherine Brown
• Sharon Lyn Buckley
• Niursy Maria Burgal Acosta

• Optometrist in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.