Bay Street Optical Inc.
Organization Active NPI Eyewear Supplier · Sebastian, FL
NPI 1891035952 · NPPES record last updated Feb 26, 2013
Key facts
- NPI
- 1891035952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 1848 (FL)
- Legal business name
- BAY STREET OPTICAL INC.
- Practice address
- 13830 US Highway 1
Sebastian, FL 32958-3296 - Phone
- (772) 589-6222
- NPI assigned
- Feb 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Ms. Valerie Brady
- Title
- Owner
- Phone
- (772) 589-6222
Other NPIs on the same Medicare enrollment 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bay Street Optical Inc |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040358 | FL | DME Supplier - Optician | 1759401573 |
1 other NPI on this enrollment Practice locations: Sebastian, FL |
National Provider Directory
Locations
13830 US Highway 1
Sebastian, FL 32958
Phone (407) 589-6222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 1848 | FL | Yes |
Addresses
Primary practice location
13830 US Highway 1
Sebastian, FL 32958-3296
Mailing address
13830 US Highway 1
Sebastian, FL 32958-3296
Phone (772) 589-6222
Other providers in Sebastian, FL
- Kelly Ann Barlow
- Ray Barnard
- Evelyn Barton
- Barwart Nursing Services Inc
- Glenda Bates
- Bay Street Pharmacy Inc
- Bay Street Pharmacy Inc
- Bay Street Pharmacy Inc
- Kerri Beams
- Beatriz L. Villafane, MD, PA
All providers in Sebastian, FL · Eyewear Supplier in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.