Individual provider Active NPI

Gregory Naberhaus, O.D.

  • Optometrist
  • Coral Gables, FL
National Provider Identifier
1982012233
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4936 Issued in FL
Practice address
951 S Le Jeune Rd
Coral Gables, FL 33134-2616
Phone
(305) 442-2020
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 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 OPC 4936 FL Primary

Addresses

Primary practice location

951 S Le Jeune Rd
Coral Gables, FL 33134-2616

Mailing address

951 S Le Jeune Rd
Coral Gables, FL 33134-2616

Other identifiers 1

IdentifierTypeStateIssuer
OPC 4936OtherFLFLORIDA LICENSE NUMBER

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
I20151026001679 FL Practitioner - Optometry 0941519318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Optometry AssociatesGroup PAC ID 1052417821, 2 clinicians
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

2420 S Babcock St
Brevard Vision Care
Melbourne, FL 32901-5356
Phone (321) 752-0100

7905 N Wickham Rd
Melbourne, FL 32940-7918
Phone (321) 752-0100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4936FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Optometry Associates Optometrist CurrentSince Sep 9, 2015 Accepting new patients
Aeg Florida Professional PLLC Optometrist CurrentSince Sep 27, 2024 Accepting new patients
Surgery Center of Coral Gables LLC Past Accepting new patients

Locations

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

2420 S Babcock St
Melbourne, FL 32901
Phone (321) 725-4755

7905 N Wickham Rd
Melbourne, FL 32940
Phone (321) 752-0100

5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560

Interoperability endpoints

  • Direct secure messaging: gregory.naberhausod.p1@direct.araneyeassociates.nextgenshare.com

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": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1982012233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 S LE JEUNE RD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 S LE JEUNE RD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342616",
            "telephone_number": "305-442-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABERHAUS",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "OPC 4936",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.