Active NPI
Olivia Meeks, OD
- Optometrist
- Mount Dora, FL
National Provider Identifier
1124863816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6507
- Practice address
- 17435 US Highway 441
Mount Dora, FL 32757-6750 - Phone
- (352) 800-5224
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6507 | FL | Primary |
Addresses
Primary practice location
17435 US Highway 441
Mount Dora, FL 32757-6750
Mailing address
1021 Pavia Dr
Apopka, FL 32703-8410
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6507 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Optometry, PA | Multi-Specialty | Current | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients |
Locations
706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318
17435 US Highway 441
Mount Dora, FL 32757
Phone (352) 434-0455
Networks
- Freedom Health HMO Network
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 and National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
Multi-Specialty
-
- Eyewear Supplier
- Altamonte Springs, FL
- NPI 1023164886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1124863816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 PAVIA DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327038410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17435 US HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576750",
"telephone_number": "352-800-5224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKS",
"first_name": "OLIVIA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2024-07-17",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "6507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.