DR. MICAH DRAY BRIENEN (OD) – Optometrist, NPI 1770527525

DR. MICAH DRAY BRIENEN (OD) is a healthcare provider. based in Fort myers, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC 4003 (FL). The NPI Number for DR. MICAH DRAY BRIENEN (OD) is 1770527525

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICAH DRAY BRIENEN (OD)
NPI
1770527525
Phone
(239) 335-1944
Address
4101 EVANS AVE
Enumeration Date
15 June 2006
Last Update Date
11 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275852200
Graduation Year
2005 (21 years ago)
PAC ID
8921011461
Group Practice PAC ID
6204806201
Professional Enrollment ID
I20060822000504
Address ID
FL337703225LA1030XDRXX400
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

2,055 OPTOMETRY in FL

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Provider Addresses for DR. MICAH DRAY BRIENEN (OD)

  • 4101, Evans Avenue, Fort Myers, Lee County, Florida, 33901, United States

    FORT MYERS, FL 339019310

    Phone: (239) 335-1944

    Fax: (239) 939-1575

    Type: Mailing

  • North Tamiami Trail, Buccaneer, North Fort Myers, Lee County, Florida, 33903, United States

    NORTH FORT MYERS, FL 339031414

    Phone: (239) 543-3336

    Fax: (239) 335-1989

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $523.

Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($295).

Total Amount

$523

General + Research + Ownership

Payments

16

Total payment records

General Amount

$523

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2006-08-22

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
I20060822000504IOptometryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33901)

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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: 6204806201View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL

Reviews

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Frequently asked questions

How do I look up DR. MICAH DRAY BRIENEN (OD) by NPI?
Use NPI 1770527525 when you need to reference DR. MICAH DRAY BRIENEN (OD) in forms, claims, or directories.
Does this profile mean DR. MICAH DRAY BRIENEN (OD) is currently active?
Yes — DR. MICAH DRAY BRIENEN (OD) appears active in the national provider directory.
Does DR. MICAH DRAY BRIENEN (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. MICAH DRAY BRIENEN (OD). Clinical services aligned with this taxonomy classification.
What location shows for DR. MICAH DRAY BRIENEN (OD)?
We surface Fort Myers, Florida for DR. MICAH DRAY BRIENEN (OD) based on available NPPES addresses.
What if Fort Myers, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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