Aundrea Pelakatiyage
Individual provider Active NPI Optometrist · Tampa, FL
NPI 1184358384 · NPPES record last updated Jun 28, 2026
Key facts
- NPI
- 1184358384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC6110 (FL)
- Practice address
- 719 W Fletcher Ave
Tampa, FL 33612-3422 - Phone
- (813) 961-2020
- Fax
- (813) 961-4105
- NPI assigned
- Jul 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bruce W Anderson, P.a.
Practice addresses (Care Compare)
3822 Turman Loop
Wesley Chapel, FL 33544-7816
Phone (813) 961-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 84.52
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220720000929 | FL | Practitioner - Optometry | 7719368943 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce W Anderson, P.a. | Optometrist | Current |
Accepting new patients |
| Advanced Surgical Mobile Eye Care LLC | Current |
Accepting new patients | |
| West Coast Mobile Eye Care, Inc | Optometrist | Past | Accepting new patients |
Locations
445 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 886-2020
719 W Fletcher Ave
Tampa, FL 33612
Phone (813) 961-2020
3822 Turman Loop
Wesley Chapel, FL 33544
Phone (813) 961-2020
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC6110 | FL | Yes |
Addresses
Primary practice location
719 W Fletcher Ave
Tampa, FL 33612-3422
Mailing address
719 W Fletcher Ave
Tampa, FL 33612-3422
Phone (813) 961-2020
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.