BRENDA DEFORREST OD PA
NPI 1477733780
Clinic/Center in Orlando, FL
About Brenda Deforrest Od Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA DEFORREST OD PA (NPI 1477733780) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since November 2007. The organization lists Brenda Deforrest, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brenda Deforrest Od Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brenda Deforrest Od PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brenda Deforrest Od PA's NPI number?
The NPI number for Brenda Deforrest Od PA is 1477733780. It was assigned to this organization in the NPPES registry on November 5, 2007.
Where is Brenda Deforrest Od PA located?
Brenda Deforrest Od PA is located at 5006 Dr Phillips Blvd, Orlando, FL 32819. The listed phone number is (407) 289-8819.
What is Brenda Deforrest Od PA's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Brenda Deforrest Od PA enrolled in Medicare?
Yes. Brenda Deforrest Od PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brenda Deforrest Od PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Brenda Deforrest Od PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Brenda Deforrest Od PA was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brenda Deforrest Od Pa · NPI 1477733780
Clinic/Center organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since November 5, 2007.
## Identity
- **NPI:** 1477733780 (Entity type: Organization)
- **Enumerated:** November 5, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Brenda Deforrest, PRESIDENT
## Practice location
- **Address:** 5006 DR PHILLIPS BLVD, Orlando, FL 32819-3310
- **Phone:** (407) 289-8819 · **Fax:** (407) 296-7121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477733780) · Data from the CMS NPPES public registry.