Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James Revennaugh, OD

Individual provider Optometrist · NPI 1124251905

James Revennaugh, OD is an Optometry in Brooksville, Florida. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2009
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

86 Ponce De Leon Blvd
Brooksville, FL 34601-2818
Phone: (352) 796-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC 4450 (FL)

Record details

NPI number1124251905
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 27, 2009
Last updated in NPPESJune 16, 2010
Mailing address14073 Snow Memorial Hwy, Brooksville, FL 34601-4466

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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