Individual provider Active NPI

David Lee Middaugh, O.D.

  • Optometrist
  • Spring Hill, FL
National Provider Identifier
1003952268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2378 Issued in FL
Practice address
7235 Forest Oaks Blvd
Spring Hill, FL 34606-2330
Phone
(352) 686-5614
Fax
(352) 688-9426
NPI assigned
Jan 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2378 FL Primary

Addresses

Primary practice location

7235 Forest Oaks Blvd
Spring Hill, FL 34606-2330

Mailing address

14089 Candia St
Spring Hill, FL 34609-3041
Phone (352) 683-5968

Other identifiers 1

IdentifierTypeStateIssuer
078970400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000517 FL Practitioner - Optometry 2567641483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

3324 W University Ave
Suite a
Gainesville, FL 32607-2540
Phone (352) 240-0801

3922 S Suncoast Blvd
Homosassa Springs, FL 34448-2601
Phone (352) 621-7528

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2378FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Past Accepting new patients

Locations

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

6244 Commercial Way
Weeki Wachee, FL 34613
Phone (352) 597-3205

Networks

  • FL HMO
  • FL HMO D-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL PPO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • Freedom Health HMO Network
  • FL HMO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003952268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14089 CANDIA ST",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346093041",
            "telephone_number": "352-683-5968",
            "fax_number": "352-688-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 FOREST OAKS BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062330",
            "telephone_number": "352-686-5614",
            "fax_number": "352-688-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDAUGH",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078970400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.