Individual provider Active NPI

Angela L Anderson Lindsay, OD

  • Optometrist
  • Avon Park, FL
National Provider Identifier
1265426977
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3771 Issued in FL
Practice address
2315 US 27 N
Avon Park, FL 33825-9525
Phone
(863) 212-7070
Fax
(863) 238-1640
NPI assigned
Sep 8, 2005
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3771 FL Primary

Addresses

Primary practice location

2315 US 27 N
Avon Park, FL 33825-9525

Mailing address

215 1St St N
Winter Haven, FL 33881-4537
Phone (863) 299-8908

Other practice location 1

4119 Sun N Lake Blvd
Sebring, FL 33872-2131
Phone (863) 402-1300

Other identifiers 2

IdentifierTypeStateIssuer
620861400MedicaidFL
103628600MedicaidFL

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
I20040209000725 FL Practitioner - Optometry 3678467057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sevigny and Associates Eye Care, PAGroup PAC ID 3173667110, 9 clinicians

Practice addresses (Care Compare)

735 N 6TH Ave
Wauchula, FL 33873-2002
Phone (863) 773-3322

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3771FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare of Winter Haven PLLC Optometrist CurrentSince Aug 27, 2017 Accepting new patients
Sevigny & Associates Eye Care, PA Optometrist CurrentSince Mar 15, 2017 Accepting new patients
Kevin L. Henne O.D. Optometrist PastSince Jun 1, 2016 Accepting new patients
Phillips, Salomon & Parrish, PA Optometrist Past Accepting new patients
Ronald O Sevigny OD Optometrist PastSince Mar 15, 2017 Accepting new patients

Locations

2442 NE Highway 70
Arcadia, FL 34266
Phone (863) 491-7777

2315 US Highway 27 N
Avon Park, FL 33825
Phone (863) 212-7070

2323 US 27 N
Avon Park, FL 33825

27 US Highway 27 S
Lake Placid, FL 33852
Phone (863) 465-4904

363 US Highway 27 S
Sebring, FL 33870
Phone (863) 385-7070

735 N 6th Ave
Wauchula, FL 33873
Phone (863) 773-3322

410 E Central Ave
Winter Haven, FL 33880
Phone (863) 293-0276

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1265426977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814537",
            "telephone_number": "863-299-8908",
            "fax_number": "863-299-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259525",
            "telephone_number": "863-212-7070",
            "fax_number": "863-238-1640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4119 Sun N Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338722131",
            "country_code": "US",
            "telephone_number": "863-402-1300",
            "fax_number": "863-382-1410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON LINDSAY",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620861400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103628600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

Verify at the official NPI Registry.