Organization Active NPI

Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
National Provider Identifier
1114012689
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE DOCTORS OPTICAL OUTLETS PA
Practice address
5607 Johns Rd
Tampa, FL 33634-4317
Phone
(813) 885-3937
Fax
(916) 463-3904
NPI assigned
Oct 3, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Dr. Robert C. Coppola, ODNPI 1780672295
Title
President
Phone
(954) 917-2337

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

5607 Johns Rd
Tampa, FL 33634-4317

Mailing address

5607 Johns Rd
Tampa, FL 33634-4317
Phone (813) 885-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000478 FL Part B Supplier - Clinic/Group Practice 0042123846 Receives reassigned benefits from 228 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Eye Doctors Optical Outlets PA54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations (25 of 60)

515 E Altamonte Dr
Ste 24
Altamonte Springs, FL 32701

227 Brandon Town Center Dr
Brandon, FL 33511
Phone (813) 685-1935

227 Brandon Town Center Dr
#B
Brandon, FL 33511
Phone (813) 685-1935

915 E Bloomingdale Ave
Brandon, FL 33511
Phone (813) 661-1930

937 Brandon Town Center Mall
Brandon, FL 33511
Phone (813) 685-1935

1455 Semoran Blvd
Ste 275
Casselberry, FL 32707
Phone (407) 960-2689

27001 US Highway 19 N
Ste 2037
Clearwater, FL 33761
Phone (727) 669-8486

2670 E State Road 50
Unit F
Clermont, FL 34711
Phone (352) 988-2459

1230 Posner Blvd
Davenport, FL 33837
Phone (863) 623-3155

2600 Posner Blvd
Davenport, FL 33837
Phone (863) 623-3155

4455 Cleveland Ave
Ste 1
Fort Myers, FL 33901

4650 S Cleveland Ave
Ste 1A
Fort Myers, FL 33907
Phone (239) 939-5393

3944 S Suncoast Blvd
Ste 5
Homosassa, FL 34448
Phone (352) 628-9909

3922 S Suncoast Blvd
Homosassa Springs, FL 34448
Phone (352) 621-7528

2637 E Gulf To Lake Hwy
Inverness, FL 34453
Phone (352) 637-5180

7 Eagle Ridge Dr
Lake Wales, FL 33859
Phone (863) 676-0911

3800 US Highway 98 N
Ste 794
Lakeland, FL 33809
Phone (863) 859-7100

4121 US Highway 98 N
Lakeland, FL 33809
Phone (863) 858-3300

4121 US Highway 98 N
Ste A140
Lakeland, FL 33809

3665 E Bay Dr
Ste 192
Largo, FL 33771

3665 E Bay Dr
Ste 200
Largo, FL 33771
Phone (727) 538-2775

10601 US Highway 441
Ste C8
Leesburg, FL 34788

6300 N Wickham Rd
Ste 123
Melbourne, FL 32940
Phone (321) 751-7270

3671 Tamiami TRL E
Naples, FL 34112

4945 Golden Gate Pkwy
Ste 110
Naples, FL 34116
Phone (239) 214-3789

Practitioners & affiliated clinicians

Practitioners 206

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 206

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1114012689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 JOHNS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344317",
            "telephone_number": "813-885-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 JOHNS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344317",
            "telephone_number": "813-885-3937",
            "fax_number": "916-463-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DOCTORS OPTICAL OUTLETS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-917-2337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.