DR. KEVIN BRUCE BRANTLEY (O.D.) – Optometrist, NPI 1720123490

DR. KEVIN BRUCE BRANTLEY (O.D.) is a healthcare provider. based in Deland, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC3460 (FL). The NPI Number for DR. KEVIN BRUCE BRANTLEY (O.D.) is 1720123490

Main info

Male
26 Years Of Experience
Name
DR. KEVIN BRUCE BRANTLEY (O.D.)
NPI
1720123490
Phone
(386) 734-2240
Address
1699 N. WOODLAND BLVD
Enumeration Date
21 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867742400
Graduation Year
2000 (26 years ago)
PAC ID
0345237418
Group Practice PAC ID
8921095092
Professional Enrollment ID
I20130314000176
Address ID
FL327631700OR2400XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for DR. KEVIN BRUCE BRANTLEY (O.D.)

  • 1699 N. WOODLAND BLVD

    DELAND, FL 32720

    Phone: (386) 734-2240

    Fax: (386) 734-8859

    Type: Mailing

  • 1699 N WOODLAND BLVD

    DELAND, FL 327201803

    Phone: (386) 734-2240

    Fax: (386) 734-8859

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $616.

Total Amount is formed as General ($616) + Research ($0) + Ownership ($0) = $616.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Alcon Vision LLC ($245).

Total Amount

$616

General + Research + Ownership

Payments

6

Total payment records

General Amount

$616

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130314000176IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system301290$0
92134Imaging of retina251221$0
92012Established patient problem focused exam of visual system173120$0
92004New patient complete exam of visual system145145$0
92133Imaging of optic nerve7061$0
View full utilization report →

Insurance plans in this area (ZIP 32720)

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Provider's Procedures

DR. KEVIN BRUCE BRANTLEY (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92083Measurement of field of vision during daylight conditions6259
OPTOMETRYFL92134Diagnostic imaging of retina7361

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921095092View full group profile
NameSpecialtyState
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is the standard ID for DR. KEVIN BRUCE BRANTLEY (O.D.) in the U.S.?
In the U.S., DR. KEVIN BRUCE BRANTLEY (O.D.) is identified by NPI 1720123490.
Quick check: is DR. KEVIN BRUCE BRANTLEY (O.D.) active?
Public NPPES data shows DR. KEVIN BRUCE BRANTLEY (O.D.) with an active NPI status right now.
What type of care does DR. KEVIN BRUCE BRANTLEY (O.D.) provide?
DR. KEVIN BRUCE BRANTLEY (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KEVIN BRUCE BRANTLEY (O.D.) in Deland, Florida?
For routing, start with Deland, Florida for DR. KEVIN BRUCE BRANTLEY (O.D.), then verify phone and hours locally.
Can I export DR. KEVIN BRUCE BRANTLEY (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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