Active NPI
Reem Asfour, OD
- Optometrist
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5789
- 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
- Last updated
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5789 | FL | MD | Optometrist |
| 2743 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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
Interoperability endpoints
- rasfour@brandoneyeassociates.intellichartdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.