Individual provider Active NPI

Brian Harris, O.D.

  • Optometrist
  • Palm Bay, FL
National Provider Identifier
1831547157
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5202 Issued in FL
Practice address
2186 Harris Ave NE Ste 1
Palm Bay, FL 32905-4044
Phone
(321) 724-2020
Fax
(321) 724-9088
NPI assigned
May 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5202 FL Primary

Addresses

Primary practice location

2186 Harris Ave NE Ste 1
Palm Bay, FL 32905-4044

Mailing address

2186 Harris Ave NE
Palm Bay, FL 32905-4044
Phone (321) 724-2020

Other practice location 1

2001 US Highway 1
Sebastian, FL 32958-1615
Phone (772) 589-7337

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
I20161114000921 FL Practitioner - Optometry 1557640679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 US Hwy 1
Sebastian, FL 32958-1615
Phone (772) 589-7337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5202FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Jan 22, 2019 Accepting new patients
Harris Family Eye Care Optometrist CurrentSince Aug 1, 2016 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

2186 Harris Ave NE
Ste 1
Palm Bay, FL 32905
Phone (321) 724-2020

1477 NW Saint Lucie West Blvd
#105
Port Saint Lucie, FL 34986

2001 US Highway 1
Sebastian, FL 32958
Phone (772) 589-7337

2610 SE Federal Hwy
Stuart, FL 34994
Phone (772) 403-0175

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1831547157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 HARRIS AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054044",
            "telephone_number": "321-724-2020",
            "fax_number": "321-724-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 HARRIS AVE NE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054044",
            "telephone_number": "321-724-2020",
            "fax_number": "321-724-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329581615",
            "country_code": "US",
            "telephone_number": "772-589-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.