Eye Doctors Optical Outlets PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE DOCTORS OPTICAL OUTLETS PA

Practice address

6244 Commercial Way
Weeki Wachee, FL 34613-6325

Phone

(352) 597-3205

NPI assigned

Aug 6, 2007

Last updated

Jan 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert C. Coppola, DONPI 1780672295

Title

President

Phone

(954) 917-2337

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert C. Coppola, O.D.

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1780672295
  Authorized official Same address or phone
• Alycia Ann Chiaramonti, O.D.

  • Optometrist
  • Leesburg, FL
  • NPI 1659722874
  NPD (past)
• Michael Blue Herriott, O.D.

  • Optometrist
  • Gainesville, FL
  • NPI 1942588926
  NPD (past)
• Karl David Johannessen, OD

  • Optometrist
  • Melbourne, FL
  • NPI 1306863105
  NPD (past)
• David Lee Middaugh, O.D.

  • Optometrist
  • Spring Hill, FL
  • NPI 1003952268
  NPD (past)
• Vincent Passaro Jr., O.D.

  • Optometrist
  • New Port Richey, FL
  • NPI 1750425948
  NPD (past)
• Thomas P Stamp

  • Optometrist
  • Weeki Wachee, FL
  • NPI 1255446431
  NPD (past)
• Bryan Robert Wexler, O.D.

  • Optometrist
  • Clearwater, FL
  • NPI 1952425811
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1184815144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 JOHNS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344317",
            "telephone_number": "813-885-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6244 COMMERCIAL WAY",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136325",
            "telephone_number": "352-597-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DOCTORS OPTICAL OUTLETS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-917-2337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620937819",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edna M Emerson, LMHC
• Enchanted Flow Care LLC
• Rosemarie Colleen Escoffery
• Eugene F Guerre Jr MD
• Ronnie J Evans, LMHC
• Family Chiropractic Center for Wellness Inc
• Farhan Siddiqi, MD PA
• Sara Fernandez
• Christopher C Fiorita, MASSAGE THERAPIST
• James Joseph Flaig III, PHARMD

• Optometrist in Weeki Wachee, FL
• Providers in Weeki Wachee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.