Individual provider Active NPI

Lindsey Vincent, OD

  • Optometrist
  • Sanford, FL
National Provider Identifier
1023531753
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5447 Issued in FL
Practice address
5680 Wayside Dr
Sanford, FL 32771-8625
Phone
(407) 333-3937
NPI assigned
Jul 25, 2017
Last updated
Jul 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5447 FL Primary

Addresses

Primary practice location

5680 Wayside Dr
Sanford, FL 32771-8625

Mailing address

44 Fern Crest Dr
Debary, FL 32713-3198
Phone (386) 235-2033

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
I20171214000468 FL Practitioner - Optometry 5799043089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PAGroup PAC ID 8022046077, 3 clinicians

Practice addresses (Care Compare)

2836 Enterprise Rd
Suite 3
Debary, FL 32713-5210
Phone (386) 668-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Florida Professional PLLC Optometrist CurrentSince Dec 29, 2023 Accepting new patients
Total Vision PA Optometrist CurrentSince Jan 1, 2023 Accepting new patients

Locations

2836 Enterprise Rd
Debary, FL 32713
Phone (386) 258-7100

2836 Enterprise Rd
Ste 3
Debary, FL 32713
Phone (386) 668-8885

5680 Wayside Dr
Sanford, FL 32771
Phone (407) 333-3937

Organizations & group practices 2

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1023531753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FERN CREST DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327133198",
            "telephone_number": "386-235-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 WAYSIDE DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718625",
            "telephone_number": "407-333-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.