Individual provider Active NPI

Skyler Samuel Lind, O.D.

  • Optometrist
  • Palm Coast, FL
National Provider Identifier
1164958930
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5349 Issued in FL
Practice address
250 Palm Coast Pkwy NE Unit 605
Palm Coast, FL 32137-8225
Phone
(386) 446-1200
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5349 FL Primary

Addresses

Primary practice location

250 Palm Coast Pkwy NE Unit 605
Palm Coast, FL 32137-8225

Mailing address

28 Cochise CT
Palm Coast, FL 32137-8997
Phone (386) 237-1205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29 New Leatherwood Dr
Palm Coast, FL 32137-6955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5349FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Coast Optical Co. Inc. Optometrist CurrentSince Mar 28, 2026 Accepting new patients

Locations

250 Palm Coast Pkwy NE
Unit 605
Palm Coast, FL 32137
Phone (386) 446-1200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1164958930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 COCHISE CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378997",
            "telephone_number": "386-237-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE UNIT 605",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378225",
            "telephone_number": "386-446-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "SKYLER",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.