Individual provider Active NPI

Diba Ossareh, OD

  • Optometrist
  • Wildwood, FL
National Provider Identifier
1235816067
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6388 Issued in FL
Practice address
5431 E Sr 44 Ste 1
Wildwood, FL 34785-8294
Phone
(352) 632-2020
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35830 CA
Optometrist 152W00000X OPC6388 FL Primary

Addresses

Primary practice location

5431 E Sr 44 Ste 1
Wildwood, FL 34785-8294

Mailing address

PO Box 919788
Orlando, FL 32891-9788
Phone (888) 856-1878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415004053 FL Practitioner - Optometry 1658804943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5431 E Sr
Suite 44
Wildwood, FL 34785-8294
Phone (352) 632-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35830CAMDClinical Neuropsychologist
OPT35830CAMDOptometrist
OPC6388FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight, PL Optometrist Current Accepting new patients
Central Florida Premier Eye Associates CurrentSince May 1, 2025 Accepting new patients
Santa Fe Surgery Center LLC CurrentSince May 1, 2025 Accepting new patients

Locations

601 E Dixie Ave
Ste 201
Leesburg, FL 34748
Phone (352) 253-5961

5431 E State Road 44
Wildwood, FL 34785
Phone (352) 632-2020

5431 E State Road 44
Ste 1
Wildwood, FL 34785
Phone (352) 360-6261

Interoperability endpoints

  • Direct secure messaging: dossareh@useye.intellechartdirect.net
  • Direct secure messaging: diba.ossareh@uprisedirect.com

Organizations & group practices 3

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": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1235816067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919788",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919788",
            "telephone_number": "888-856-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 E SR 44 STE 1",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858294",
            "telephone_number": "352-632-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSAREH",
        "first_name": "DIBA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35830",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

Verify at the official NPI Registry.