Individual provider Active NPI

John Nowell, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1154527729
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2202 Issued in FL
Practice address
7208 W Sand Lake Rd Ste 202
Orlando, FL 32819-5278
Phone
(407) 271-8931
Fax
(407) 674-8712
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2202 FL Primary

Addresses

Primary practice location

7208 W Sand Lake Rd Ste 202
Orlando, FL 32819-5278

Mailing address

8066 Monier Way
Orlando, FL 32835-2640
Phone (407) 822-7502

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
I20100723000652 FL Practitioner - Optometry 9335271535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

4788 Hodges Blvd
Suite 205
Jacksonville, FL 32224-7223
Phone (904) 992-9991

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orlando Eye Care LLC Optometrist CurrentSince Sep 11, 2013 Accepting new patients
Aeg Florida Professional PLLC Optometrist CurrentSince May 31, 2024 Accepting new patients

Locations

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560

7208 W Sand Lake Rd
Ste 202
Orlando, FL 32819
Phone (407) 271-8931

7009 Dr Phillips Blvd
Ste 110
Orlando, FL 32819
Phone (321) 917-0316

7051 Dr Phillips Blvd
Ste 7
Orlando, FL 32819
Phone (407) 345-9929

7208 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 271-8931

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1154527729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8066 MONIER WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352640",
            "telephone_number": "407-822-7502",
            "fax_number": "407-386-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195278",
            "telephone_number": "407-271-8931",
            "fax_number": "407-674-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWELL",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.