Active NPI
Cortez Ramon Lewis, OD
- Optometrist
- West Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5361
- Practice address
- 1573 S Wickham Rd
West Melbourne, FL 32904-3540 - Phone
- (321) 220-0394
- Fax
- (239) 232-8881
- NPI assigned
- May 25, 2017
- Sex
- Male
- Sole proprietor
- No
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 | OPC5361 | FL | Primary |
Addresses
Primary practice location
1573 S Wickham Rd
West Melbourne, FL 32904-3540
Mailing address
1573 S Wickham Rd
West Melbourne, FL 32904-3540
Phone (321) 220-0394
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1573 S Wickham Rd
Melbourne, FL 32904-3540
Phone (321) 220-0394
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Simply See LLC | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Gulf Coast Optometry, PA | Current | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Andreanos Jordanopoulos OD Inc | Optometrist | 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
2254 W International Speedway Blvd
Daytona Beach, FL 32114
Phone (386) 252-3639
4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217
13534 Beach Blvd
#3
Jacksonville, FL 32224
Phone (904) 383-3400
104 W Vine St
Ste C
Kissimmee, FL 34741
Phone (407) 944-4240
3635 US Highway 98 N
Lakeland, FL 33809
Phone (863) 937-9045
928 W New Haven Ave
Melbourne, FL 32901
Phone (321) 728-4988
100 N Plumosa St
Merritt Island, FL 32953
Phone (321) 455-2950
2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937
9571 W Colonial Dr
Ocoee, FL 34761
Phone (407) 522-4705
901 Blanding Blvd
Ste 4
Orange Park, FL 32065
Phone (904) 562-1160
330 N Alafaya Trl
Orlando, FL 32828
Phone (407) 208-1027
3808 E Colonial Dr
Orlando, FL 32803
Phone (407) 894-7533
5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873
1573 S Wickham Rd
West Melbourne, FL 32904
Phone (321) 220-0394
Networks
- Freedom Health HMO Network
Organizations & group practices 9
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.
-
- Optometrist
- Melbourne, FL
- NPI 1386241297
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
-
- Optometrist
- Clearwater, FL
- NPI 1013108091
-
- Optometrist
- Tampa, FL
- NPI 1114012689
-
- Optometrist
- West Melbourne, FL
- NPI 1104911098
-
- Eyewear Supplier
- Altamonte Springs, FL
- NPI 1023164886
-
- Eyewear Supplier
- Fort Meyers, FL
- NPI 1477607521
-
- Optician
- West Melbourne, FL
- NPI 1497131346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607817600000",
"number": "1164950820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 S WICKHAM RD",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329043540",
"telephone_number": "321-220-0394",
"fax_number": "239-232-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1573 S WICKHAM RD",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329043540",
"telephone_number": "321-220-0394",
"fax_number": "239-232-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CORTEZ",
"middle_name": "RAMON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2020-12-13",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.