Individual provider Active NPI

Addison Dimartino, O.D.

  • Optometrist
  • Spring Hill, FL
National Provider Identifier
1083963466
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3057 Issued in TN
Practice address
13161 Cortez Blvd
Spring Hill, FL 34613-7804
Phone
(352) 597-0410
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3057 TN Primary

Addresses

Primary practice location

13161 Cortez Blvd
Spring Hill, FL 34613-7804

Mailing address

13161 Cortez Blvd Ste 101
Spring Hill, FL 34613-7804
Phone (352) 597-0410

Other practice location 1

204 Emory Dr
Greeneville, TN 37745
Phone (423) 683-4151

Other identifiers 1

IdentifierTypeStateIssuer
119979000MedicaidFL

Other names 1

  • Addison Lupton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adimartino@eapinellas.intellechartdirect.net Southeast Eye Institute, PA

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
I20150723008239 FL Practitioner - Optometry 9739330770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Eye Institute PAGroup PAC ID 8224931993, 31 clinicians

Practice addresses (Care Compare)

13161 Cortez Blvd
Brooksville, FL 34613-7804
Phone (352) 597-0410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3057TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Optometrist CurrentSince Oct 23, 2023 Accepting new patients
Coppedge Eyecare, LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Coppedge and Wooster PA Optometrist PastSince Nov 1, 2021 Accepting new patients
Greeneville Vision Center Optometrist Past Accepting new patients

Locations

86 Ponce de Leon Blvd
Brooksville, FL 34601
Phone (352) 796-2141

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

13161 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 597-0410

13161 Cortez Blvd
Ste 101
Spring Hill, FL 34613

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: adimartino@eapinellas.intellechartdirect.net

Organizations & group practices 4

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1083963466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13161 CORTEZ BLVD STE 101",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346137804",
            "telephone_number": "352-597-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13161 CORTEZ BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346137804",
            "telephone_number": "352-597-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Emory Dr",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "37745",
            "country_code": "US",
            "telephone_number": "423-683-4151",
            "fax_number": "423-639-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMARTINO",
        "first_name": "ADDISON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119979000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adimartino@eapinellas.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Southeast Eye Institute, PA",
            "address_1": "13161 Cortez Blvd",
            "city": "Spring Hill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346137804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADDISON",
            "last_name": "LUPTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.