Individual provider Active NPI

Bryan Aling, OD

  • Optometrist
  • West Palm Beach, FL
National Provider Identifier
1871761197
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3864 Issued in FL
Practice address
2601 S Military TRL
23
West Palm Beach, FL 33415-7510
Phone
(561) 433-8448
Fax
(561) 433-8313
NPI assigned
Feb 20, 2008
Last updated
Oct 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3864 FL Primary

Addresses

Primary practice location

2601 S Military TRL
23
West Palm Beach, FL 33415-7510

Mailing address

2601 S Military TRL
23
West Palm Beach, FL 33415-7510
Phone (561) 433-8448

Other identifiers 1

IdentifierTypeStateIssuer
620989100MedicaidFL

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
I20041220000530 FL Practitioner - Optometry 7810954088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2601 S Military TRL
Suite 23
West Palm Beach, FL 33415-7512
Phone (561) 433-8448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3864FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bryan Aling O D P a Optometrist CurrentSince May 1, 2008 Accepting new patients
Justin Optical Enterprises Inc Past Accepting new patients

Locations

2601 S Military Trl
Ste 23
West Palm Beach, FL 33415
Phone (561) 433-8448

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1871761197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S MILITARY TRL",
            "address_2": "23",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157510",
            "telephone_number": "561-433-8448",
            "fax_number": "561-433-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S MILITARY TRL",
            "address_2": "23",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157510",
            "telephone_number": "561-433-8448",
            "fax_number": "561-433-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALING",
        "first_name": "BRYAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620989100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.