NPIMap

Organization Active NPI

Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
National Provider Identifier
1164308771
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE DOCTORS OPTICAL OUTLETS PA
Practice address
6017 S Goldenrod Rd Ste a
Orlando, FL 32822-8778
Phone
(407) 351-6063
Fax
(407) 232-6066
NPI assigned
Aug 12, 2025
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Robert C. Coppola, ODNPI 1780672295
Title
Owner
Phone
(813) 885-3937

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

6017 S Goldenrod Rd Ste a
Orlando, FL 32822-8778

Mailing address

5607 Johns Rd
Tampa, FL 33634-4499
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

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 21

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

View all 21

Locations (25 of 32)

1105 Cortez Rd W
Bradenton, FL 34207
Phone (941) 753-2323

2436 State Road 580
Clearwater, FL 33761
Phone (727) 669-8486

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

2391 S US Highway 27
Clermont, FL 34711
Phone (352) 988-2459

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

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

4125 Cleveland Ave
#113
Fort Myers, FL 33901
Phone (239) 939-5393

2469 W US Highway 90
Ste A27
Lake City, FL 32055
Phone (386) 515-8647

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

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

3654 Harden Blvd
Lakeland, FL 33803
Phone (813) 885-3937

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

6017 S Goldenrod Rd
Ste A
Orlando, FL 32822
Phone (407) 351-6063

1150 Malabar Rd SE
Ste 110
Palm Bay, FL 32907
Phone (321) 977-5158

2000 Tamiami Trl
#211
Port Charlotte, FL 33948
Phone (941) 255-0588

10689 Big Bend Rd
Riverview, FL 33579
Phone (813) 699-1980

140 E 13th St
Saint Cloud, FL 34769
Phone (321) 766-7800

224 Towne Center Cir
#J7
Sanford, FL 32771
Phone (407) 688-2323

1843 34th St N
#5
St Petersburg, FL 33713
Phone (727) 323-7750

6901 22nd Ave N
Rm 760
St Petersburg, FL 33710
Phone (727) 343-3006

6902 22ND Ave N
St. Petersburg, FL 33710
Phone (727) 343-3006

13129 N Dale Mabry Hwy
Ste G
Tampa, FL 33618
Phone (813) 962-1799

3920 W Hillsborough Ave
#A
Tampa, FL 33614
Phone (813) 870-2273

3920 W Hillsborough Ave
Ste B
Tampa, FL 33614
Phone (813) 870-2273

403 S Dale Mabry Hwy
Tampa, FL 33609
Phone (813) 872-6063

Practitioners & affiliated clinicians

Practitioners 232

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 232

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1164308771",
    "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": "336344499",
            "telephone_number": "813-885-3937",
            "fax_number": "813-880-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 S GOLDENROD RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228778",
            "telephone_number": "407-351-6063",
            "fax_number": "407-232-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DOCTORS OPTICAL OUTLETS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-885-3937",
        "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 Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.