Individual provider Active NPI

Sagar Amin, O.D.

  • Optometrist
  • Crawfordville, FL
National Provider Identifier
1265715783
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4637 Issued in FL
Practice address
2140 Crawfordville Hwy
Crawfordville, FL 32327-1009
Phone
(850) 926-9213
Fax
(850) 926-9215
NPI assigned
Sep 21, 2011
Last updated
Dec 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4637 FL Primary

Addresses

Primary practice location

2140 Crawfordville Hwy
Crawfordville, FL 32327-1009

Mailing address

2140 Crawfordville Hwy
Crawfordville, FL 32327-1009
Phone (850) 926-9213

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
I20120709000527 FL Practitioner - Optometry 2466617980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

1901 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone (850) 701-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince May 11, 2015 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince May 11, 2015 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients
North Florida Regional Eyecare, PA Past Accepting new patients
North Florida Regional Eyecare, PA Optometrist Past Accepting new patients

Locations

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

1433 E Lafayette St
Tallahassee, FL 32301
Phone (850) 656-3300

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

1901 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 701-2540

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1265715783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 CRAWFORDVILLE HWY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271009",
            "telephone_number": "850-926-9213",
            "fax_number": "850-926-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 CRAWFORDVILLE HWY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271009",
            "telephone_number": "850-926-9213",
            "fax_number": "850-926-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "SAGAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, FL

Sources for this page

Verify at the official NPI Registry.