DR. BRIYANA ALEXIS THEODORE OD
NPI 1891472411
Optometrist in Jacksonville, FL
About Dr. Briyana Alexis Theodore Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRIYANA ALEXIS THEODORE OD (NPI 1891472411) is an individual optometrist in Jacksonville, Florida, licensed in Florida (6337) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Briyana Alexis Theodore Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Briyana Theodore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Odessa, FL 33556
- Reassigned Medicare billing, Florida enrollment
- 18 clinicians in this Medicare group
Tampa, FL 33607
- Reassigned Medicare billing, Florida enrollment
- 209 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
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 Briyana Theodore's NPI number?
The NPI number for Briyana Theodore is 1891472411. It was assigned to this individual provider in the NPPES registry on July 5, 2023. The provider is also known as Briyana Alexis Perrin-Theodore.
Where is Briyana Theodore located?
Briyana Theodore practices at 1536 N Jefferson St, Jacksonville, FL 32209. The listed phone number is (904) 475-6310.
What is Briyana Theodore's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Briyana Theodore enrolled in Medicare?
Yes. Briyana Theodore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Briyana Theodore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Briyana Theodore reassigns Medicare benefits to 2 organizations: Pearle Capstone Eye Associates, PLLC (Odessa, FL) and Gulf Coast Optometry, PA (Tampa, FL). Each 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 Briyana Theodore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Briyana Theodore accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Louisiana and 13 other insurers list Briyana Theodore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Briyana Theodore was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Briyana Alexis Theodore, OD · NPI 1891472411
Optometrist provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 5, 2023.
## Identity
- **NPI:** 1891472411 (Entity type: Individual)
- **Enumerated:** July 5, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 6337 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1536 N JEFFERSON ST, Jacksonville, FL 32209-6525
- **Phone:** (904) 475-6310
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pearle Capstone Eye Associates, PLLC (NPI 1841925849, Odessa, FL); Gulf Coast Optometry, PA (NPI 1083859409, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1891472411) · Data from the CMS NPPES public registry.