Individual provider Active NPI

Akram Masood, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1174942197
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5407 Issued in FL
Practice address
1531 S Dale Mabry Hwy
Tampa, FL 33629-5808
Phone
(813) 302-3083
Fax
(813) 250-3506
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010762 IL
Optometrist 152W00000X OPC5407 FL Primary

Addresses

Primary practice location

1531 S Dale Mabry Hwy
Tampa, FL 33629-5808

Mailing address

3750 Gunn Hwy Ste 108
Tampa, FL 33618-8911
Phone (813) 712-0660

Other practice location 1

3333 W Touhy Ave
Lincolnwood, IL 60712-2721
Phone (847) 673-3902

Other practice location 2

1531 S Dale Mabry Hwy
Tampa, FL 33629-5808
Phone (813) 302-3083

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
I20171108000061 FL Practitioner - Optometry 4880950880 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5407FLMDOptometrist
046010762ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Sep 19, 2017 Accepting new patients
National Vision, Inc. 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

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

100 N Plumosa St
Merritt Island, FL 32953
Phone (321) 455-2950

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

2241 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 629-9309

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

3750 Gunn Hwy
Ste 108
Tampa, FL 33618
Phone (954) 342-0982

1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018

Organizations & group practices 3

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174942197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 GUNN HWY STE 108",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188911",
            "telephone_number": "813-712-0660",
            "fax_number": "813-315-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295808",
            "telephone_number": "813-302-3083",
            "fax_number": "813-250-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 W Touhy Ave",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607122721",
            "country_code": "US",
            "telephone_number": "847-673-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531 S Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336295808",
            "country_code": "US",
            "telephone_number": "813-302-3083",
            "fax_number": "813-250-3506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASOOD",
        "first_name": "AKRAM",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010762",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.