Individual provider Active NPI

Reem Asfour, OD

  • Optometrist
  • Brandon, FL
National Provider Identifier
1972127686
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5789 Issued in FL
Practice address
540 Medical Oaks Ave Ste 103
Brandon, FL 33511-5995
Phone
(813) 684-2211
Fax
(813) 685-0895
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2743 NC
Optometrist 152W00000X OPC5789 FL Primary

Addresses

Primary practice location

540 Medical Oaks Ave Ste 103
Brandon, FL 33511-5995

Mailing address

540 Medical Oaks Ave Ste 103
Brandon, FL 33511-5995
Phone (813) 684-2211

Other practice location 1

779 Cortaro Dr
Sun City Center, FL 33573-6812
Phone (813) 213-0020

Other practice location 2

1725 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6507
Phone (813) 748-3112

Other identifiers 1

IdentifierTypeStateIssuer
106816100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rasfour@brandoneyeassociates.intellichartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2743NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1972127686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MEDICAL OAKS AVE STE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115995",
            "telephone_number": "813-684-2211",
            "fax_number": "813-655-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MEDICAL OAKS AVE STE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115995",
            "telephone_number": "813-684-2211",
            "fax_number": "813-685-0895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "779 Cortaro Dr",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736812",
            "country_code": "US",
            "telephone_number": "813-213-0020",
            "fax_number": "813-642-7357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076507",
            "country_code": "US",
            "telephone_number": "813-748-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASFOUR",
        "first_name": "REEM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2743",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106816100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rasfour@brandoneyeassociates.intellichartdirect.net",
            "affiliation": "N",
            "address_1": "540 Medical Oaks Ave Ste 103",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.