Organization Active NPI

Myoptics Eye Care LLC

  • Optometrist
  • Port Richey, FL
National Provider Identifier
1073310199
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MYOPTICS EYE CARE LLC
Practice address
9644 Scenic Dr
Port Richey, FL 34668-4653
Phone
(727) 845-0082
Fax
(727) 847-3463
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Vicky ThanNPI 1376116558
Title
Owner
Phone
(813) 926-5993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9644 Scenic Dr
Port Richey, FL 34668-4653

Mailing address

11152 Magnolia St
Garden Grove, CA 92841-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250410003488 FL Part B Supplier - Clinic/Group Practice 1658895602 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL; Venice, FL

National Provider Directory

National Provider Directory

Locations

6574 University Pkwy
Sarasota, FL 34240
Phone (941) 278-5132

4121 S Tamiami Trl
Venice, FL 34293
Phone (941) 279-3838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1073310199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11152 MAGNOLIA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9644 SCENIC DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684653",
            "telephone_number": "727-845-0082",
            "fax_number": "727-847-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOPTICS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "THAN",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-926-5993"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.