Krishsayi Mathanaruban, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6374 Issued in FL

Practice address

9428 W Colonial Dr
Ocoee, FL 34761-6800

Phone

(407) 291-1921

NPI assigned

Nov 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Freedom Health HMO Network

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.

• Eye Doctors Optical Outlets PA

  • Optometrist
  • Leesburg, FL
  • NPI 1497946479
  NPD (past)

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1194591586",
    "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": "336344499",
            "telephone_number": "813-885-3937",
            "fax_number": "813-880-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616800",
            "telephone_number": "407-291-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHANARUBAN",
        "first_name": "KRISHSAYI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "OPC6374",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Master Dental Associates, LLC (Master Dental & Orthodontics)
• Matthew Jacob Mastrapa
• Victoria Isabel Matamoros, PA-C
• Eclena Matel
• Ronny Matews
• Cassi Jean Matthews, BC-HIS
• Tamika Matthews, MS, LSP
• Khadja Maycock, ARNP
• MC Medical LLC (Walmart Health)
• Amari McAllister

• Optometrist in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.