Individual provider Active NPI

Steven Paul Douglas Tittl, O.D.

  • Optometrist
  • Miami Beach, FL
National Provider Identifier
1033128145
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5988 Issued in FL
Practice address
1000 West Ave
Miami Beach, FL 33139-4759
Phone
(888) 401-4884
Fax
(888) 401-4884
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4238 MA
Optometrist 152W00000X OPT.006835 OH
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD5494 AK
Optometrist 152W00000X OPC5988 FL Primary

Addresses

Primary practice location

1000 West Ave
Miami Beach, FL 33139-4759

Mailing address

34380 Glen Dr
Eastlake, OH 44095-2610
Phone (617) 549-9744

Other practice location 1

1515 E Tudor Rd Ste 7
Anchorage, AK 99507-1036
Phone (888) 401-4884

Other practice location 2

4680 Parkway Dr
Mason, OH 45040-8296
Phone (513) 445-9064

Other practice location 3

1725 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6507
Phone (239) 800-1717

Other practice location 4

390 Walker Ave
Chicopee, MA 01022-1534
Phone (413) 557-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071208000057 AK Practitioner - Optometry 4385733781 Practice locations: Anchorage, AK
I20250722002172 FL Practitioner - Optometry 4385733781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1515 E Tudor Rd
Suite 7
Anchorage, AK 99507-1036
Phone (617) 549-9744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230AKMDMarriage & Family Therapist
OD5494AKMDOptometrist
4238MAMDOptometrist
OPT.006835OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA Single Specialty CurrentSince May 1, 2025 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

1918 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3882

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

7817 Kenwood Rd
Cincinnati, OH 45236
Phone (513) 788-7430

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1033128145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34380 GLEN DR",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440952610",
            "telephone_number": "617-549-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WEST AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394759",
            "telephone_number": "888-401-4884",
            "fax_number": "888-401-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Tudor Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995071036",
            "country_code": "US",
            "telephone_number": "888-401-4884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4680 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450408296",
            "country_code": "US",
            "telephone_number": "513-445-9064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076507",
            "country_code": "US",
            "telephone_number": "239-800-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 Walker Ave",
            "address_purpose": "LOCATION",
            "city": "Chicopee",
            "state": "MA",
            "postal_code": "010221534",
            "country_code": "US",
            "telephone_number": "413-557-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITTL",
        "first_name": "STEVEN",
        "middle_name": "PAUL DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4238",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006835",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "OD5494",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.