Individual provider Active NPI

Garry Thomas Chrycy, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1902965254
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1263 Issued in FL
Practice address
1661 SW 37TH Ave
Ste. 102
Miami, FL 33145-1754
Phone
(305) 443-3786
Fax
(305) 443-3783
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 OPC1263 FL Primary

Addresses

Primary practice location

1661 SW 37TH Ave
Ste. 102
Miami, FL 33145-1754

Mailing address

1661 SW 37TH Ave
Ste. 102
Miami, FL 33145-1754
Phone (305) 443-3786

Other identifiers 1

IdentifierTypeStateIssuer
078831700MedicaidFL

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
I20110729000277 FL Practitioner - Optometry 6305014739 Reassigns benefits to 1 organization
Practice locations: Cutler Bay, FL; Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1263FLMDKinesiotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Feb 7, 2022 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Feb 7, 2022 Accepting new patients
Furnari and Lofton General Partnership Optometrist Past Accepting new patients
Chrycy Eye Group Optometrist Past Accepting new patients

Locations

212 State Road 312
St Augustine, FL 32086
Phone (904) 824-2021

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1902965254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 SW 37TH AVE",
            "address_2": "STE. 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451754",
            "telephone_number": "305-443-3786",
            "fax_number": "305-443-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SW 37TH AVE",
            "address_2": "STE. 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451754",
            "telephone_number": "305-443-3786",
            "fax_number": "305-443-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYCY",
        "first_name": "GARRY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078831700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.