Individual provider Active NPI

Bryan Robert Wexler, O.D.

  • Optometrist
  • Clearwater, FL
National Provider Identifier
1952425811
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2808 Issued in FL
Practice address
3131 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone
(727) 501-7384
Fax
(727) 785-9660
NPI assigned
Mar 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X FL 2808 FL
Optometrist 152W00000X OPC2808 FL Primary

Addresses

Primary practice location

3131 N McMullen Booth Rd
Clearwater, FL 33761-2008

Mailing address

3131 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone (727) 501-7384

Other identifiers 4

IdentifierTypeStateIssuer
20593OtherFLFLORIDA BLUE
107605400MedicaidFL
5744494OtherFLAETNA
5186556OtherFLCIGNA

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
I20140805001200 FL Practitioner - Optometry 7810114493 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2808FLMDOptometrist
FL 2808FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA Corneal and Contact Management CurrentSince Jul 27, 2015 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 11, 2024 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 11, 2024 Accepting new patients
National Vision, Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Paul E Fisher Jr OD PA Optometrist Past Accepting new patients

Locations

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

30323 US Highway 19 N
Clearwater, FL 33761
Phone (727) 373-3030

2660 Gulf To Bay Blvd
Clearwater, FL 33759
Phone (727) 683-7207

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

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

8605 US Highway 19
Port Richey, FL 34668
Phone (727) 848-2977

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

3750 Gunn Hwy
Ste 108
Tampa, FL 33618
Phone (954) 342-0982

39310 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 756-1220

6244 Commercial Way
Weeki Wachee, FL 34613
Phone (352) 597-3205

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1952425811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-501-7384",
            "fax_number": "727-785-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-501-7384",
            "fax_number": "727-785-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEXLER",
        "first_name": "BRYAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "FL 2808",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "20593",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107605400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5744494",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5186556",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.