Bay Street Optical Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1848 Issued in 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

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Valerie BradyNPI 1518043058

Title

Owner

Phone

(772) 589-6222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Valerie Rose Brady

  • Optician
  • Sebastian, FL
  • NPI 1518043058

  O20100930040358

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Rose Brady

  • Optician
  • Sebastian, FL
  • NPI 1518043058
  Authorized official Same address or phone

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1891035952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583296",
            "telephone_number": "772-589-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583296",
            "telephone_number": "772-589-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STREET OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-589-6222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "1848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Barlow, OTR/L
• Ray Barnard, MA
• Evelyn Barton
• Barwart Nursing Services Inc (Barwart Nursing Registry)
• Glenda Bates, LMHC
• Bay Street Pharmacy Inc
• Bay Street Pharmacy Inc
• Bay Street Pharmacy Inc
• Kerri Beams
• Beatriz L. Villafane, MD, PA

• Eyewear Supplier in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.