Active NPI
Beth Elise Norris, O.D.
- Optometrist
- Orlando, FL
National Provider Identifier
1215199468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4465
- Practice address
- 7326 Lake Underhill Rd
Orlando, FL 32822-6055 - Phone
- (407) 380-2020
- Fax
- (407) 381-8112
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4465 | FL | Primary |
Addresses
Primary practice location
7326 Lake Underhill Rd
Orlando, FL 32822-6055
Mailing address
7326 Lake Underhill Rd
Orlando, FL 32822-6055
Phone (407) 380-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC4465 | Other | FL | MEDICAL LICENSE |
| 12027906 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4465 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1215199468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7326 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328226055",
"telephone_number": "407-380-2020",
"fax_number": "407-381-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7326 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328226055",
"telephone_number": "407-380-2020",
"fax_number": "407-381-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "BETH",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "OPC4465",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12027906",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.