Active NPI
Bryan Robert Wexler, O.D.
- Optometrist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20593 | Other | FL | FLORIDA BLUE |
| 107605400 | Medicaid | FL | |
| 5744494 | Other | FL | AETNA |
| 5186556 | Other | FL | CIGNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC2808 | FL | MD | Optometrist |
| FL 2808 | FL | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Optometry, PA | Corneal and Contact Management | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | 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.
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
-
- Optometrist
- Tampa, FL
- NPI 1114012689
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.