Individual provider Active NPI

Roxanne Marie Walkowiak, OD

  • Optometrist
  • Plant City, FL
National Provider Identifier
1275765265
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4429 Issued in FL
Practice address
102 Henry Ave
Plant City, FL 33563-7118
Phone
(813) 704-6090
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4429 FL Primary

Addresses

Primary practice location

102 Henry Ave
Plant City, FL 33563-7118

Mailing address

215 1St St N
Suite 100
Winter Haven, FL 33881-4537
Phone (863) 299-8908

Other practice location 1

215 1st St N
Suite 100
Winter Haven, FL 33881-4537
Phone (863) 299-8908 ext. 2039

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
I20110218000433 FL Practitioner - Optometry 6103007562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4429FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Sightrite Medical FL PLLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 1, 2016 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 25, 2023 Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Jan 1, 2016 Accepting new patients

Locations

1695 N Broadway Ave
Bartow, FL 33830
Phone (863) 534-2020

575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226

3140 Citrus Tower Blvd
#11
Clermont, FL 34711
Phone (352) 243-2121

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

119 Patterson Rd
Haines City, FL 33844
Phone (863) 419-1300

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

1303 E Vine St
Kissimmee, FL 34744
Phone (407) 870-2002

5528 US Highway 98 N
Lakeland, FL 33809
Phone (863) 294-5457

4337 S Florida Ave
Lakeland, FL 33813
Phone (863) 619-2700

1251 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-2260

3761 Tamiami Trl E
Naples, FL 34112
Phone (239) 261-0229

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921

102 Henry Ave
Plant City, FL 33563
Phone (813) 704-6090

1040 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 654-5453

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

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

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

215 1st St N
Ste 100
Winter Haven, FL 33881
Phone (863) 299-8908

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

267 Broadway
Brooklyn, NY 11211

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1275765265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 1ST ST N",
            "address_2": "SUITE 100",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814537",
            "telephone_number": "863-299-8908",
            "fax_number": "863-595-2838"
        },
        {
            "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": [
        {
            "address_1": "215 1st St N",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814537",
            "country_code": "US",
            "telephone_number": "863-299-8908 x2039",
            "fax_number": "863-595-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKOWIAK",
        "first_name": "ROXANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.