Individual provider Active NPI

Brian K Marhue, O.D.

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1770674434
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2542 Issued in FL
Practice address
6850 International Center Boulevard
Fort Myers, FL 33912-7129
Phone
(239) 768-0006
Fax
(239) 768-0850
NPI assigned
Sep 27, 2006
Last updated
Aug 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2542 FL Primary

Addresses

Primary practice location

6850 International Center Boulevard
Fort Myers, FL 33912-7129

Mailing address

6850 International Center Boulevard
Fort Myers, FL 33912-7129
Phone (239) 768-0006

Other identifiers 1

IdentifierTypeStateIssuer
84859000MedicaidFL

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
I20041118000848 FL Practitioner - Optometry 7810951894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6850 International Ctr Blvd
Fort Myers, FL 33912-7129
Phone (239) 768-0006

Merit-based Incentive Payment System (MIPS)

Final score
99.23 of 100Reported as individual
Quality
98.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2542FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Eye Care, L.L.C. CurrentSince Nov 15, 2004 Accepting new patients
Center for Sight, PL Optometrist Current Accepting new patients
Southwest Florida Eye Care, L.L.C. Optometrist CurrentSince Nov 15, 2004 Accepting new patients
Jeffrey L Zimm MD PA Optometrist PastSince Nov 23, 1999 Accepting new patients
Southwest Florida Eye Care, L.L.C Optometrist Past Accepting new patients
The Retina & Macular Degeneration Center of SW Florida PLLC Past Accepting new patients

Locations

1109 Del Prado Blvd S
Ste 10
Cape Coral, FL 33990
Phone (239) 574-5406

6850 International Center Blvd
Fort Myers, FL 33912
Phone (239) 768-0006

11176 Tamiami Trl N
Naples, FL 34110
Phone (239) 594-0124

Interoperability endpoints

  • Direct secure messaging: bmarhue@useye.intellechartdirect.net

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1770674434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 INTERNATIONAL CENTER BOULEVARD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127129",
            "telephone_number": "239-768-0006",
            "fax_number": "239-768-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 INTERNATIONAL CENTER BOULEVARD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127129",
            "telephone_number": "239-768-0006",
            "fax_number": "239-768-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARHUE",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84859000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.