Individual provider Active NPI

Christie Marie Hartsfield, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1104887868
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3809 Issued in FL
Practice address
1410 E Fletcher Ave
Frey Eye Designs
Tampa, FL 33612-3668
Phone
(813) 977-4801
Fax
(813) 979-4572
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3809 FL Primary

Addresses

Primary practice location

1410 E Fletcher Ave
Frey Eye Designs
Tampa, FL 33612-3668

Mailing address

1410 E Fletcher Ave
Inside Frey Eye Designs
Tampa, FL 33612-3668
Phone (813) 977-4801

Other identifiers 1

IdentifierTypeStateIssuer
62111860MedicaidFL

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
I20050618000017 FL Practitioner - Optometry 6002850203 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond 2020 Vision Specialists LLC Optometrist CurrentSince Oct 28, 2023 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jan 22, 2024 Accepting new patients
Eagle Optical Co. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

10934 N Dale Mabry Hwy
Carrollwood, FL 33618
Phone (813) 559-4990

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

3264 Word Way
New Port Richey, FL 34655
Phone (727) 484-3953

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

16230 State Road 54
Odessa, FL 33556
Phone (813) 475-5599

7802 Citrus Park Town Ctr
Tampa, FL 33625
Phone (813) 920-3712

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1104887868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E FLETCHER AVE",
            "address_2": "INSIDE FREY EYE DESIGNS",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123668",
            "telephone_number": "813-977-4801",
            "fax_number": "813-979-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E FLETCHER AVE",
            "address_2": "FREY EYE DESIGNS",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123668",
            "telephone_number": "813-977-4801",
            "fax_number": "813-979-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSFIELD",
        "first_name": "CHRISTIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62111860",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.