Individual provider Active NPI

Cortez Ramon Lewis, OD

  • Optometrist
  • West Melbourne, FL
National Provider Identifier
1164950820
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5361 Issued in FL
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

Updated by the provider on Dec 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816002587 FL Practitioner - Optometry 8224300801 Reassigns benefits to 3 organizations

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

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 17, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 17, 2017 Accepting new patients
Simply See LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Gulf Coast Optometry, PA CurrentSince Oct 7, 2020 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. PastSince Jun 23, 2025 Accepting new patients
Andreanos Jordanopoulos OD Inc Optometrist PastSince Sep 1, 2020 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.

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

Verify at the official NPI Registry.