Myeyedr. Optometry of Florida, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR. OPTOMETRY OF FLORIDA, LLC

Doing business as

MyEyeDr.

Practice address

102 Henry Ave
Plant City, FL 33563-7118

Phone

(813) 704-6090

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• MyEyeDr. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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.

• Samer Aldaher, OD

  • Optometrist
  • Boca Raton, FL
  • NPI 1669101820
  NPD
• Jacqueline Vanessa Escobar, OD

  • Optometrist
  • Deland, FL
  • NPI 1033990080
  NPD
• Jade Isabella Fungquee, OD

  • Optometrist
  • Plant City, FL
  • NPI 1043882541
  NPD
• Thanh Thao Thi Ho, O.D.

  • Optometrist
  • Gainesville, FL
  • NPI 1336404342
  NPD
• Gregory S. Moore, OD

  • Optometrist
  • Buckhannon, WV
  • NPI 1821023839
  NPD
• Michelle Williams, O.D.

  • Optometrist
  • Rahway, NJ
  • NPI 1346389459
  NPD

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1205207248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HENRY AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637118",
            "telephone_number": "813-704-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR. OPTOMETRY OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Musculoskeletal Institute Chartered
• Noelle Musella, APRN, RN
• Diana Nasser Mustafa, PA-C
• Kelsey Myers
• Patrick Joseph Myers
• Thaung Han Myint, MD
• Laura Catherine Nall, MD
• Samah Nasser
• Farshad Nastaein
• National Diagnostic Services

• Optometrist in Plant City, FL
• Providers in Plant City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.