Individual provider Active NPI

Elizabeth Parrish Roberts, OD

  • Optometrist
  • Lakeland, FL
National Provider Identifier
1295722908
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3376 Issued in FL
Practice address
4337 S Florida Ave
Lakeland, FL 33813-1654
Phone
(863) 619-2700
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3376 FL Primary

Addresses

Primary practice location

4337 S Florida Ave
Lakeland, FL 33813-1654

Mailing address

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

Other practice location 1

1251 Lakeland Hills Blvd
Lakeland, FL 33805-4673
Phone (863) 688-1545

Other identifiers 1

IdentifierTypeStateIssuer
620502000MedicaidFL

Other names 1

  • Dr. Elizabeth A Parrish Other name

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
I20041025000658 FL Practitioner - Optometry 6507827367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1999
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)

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

4337 S Florida Ave
Lakeland, FL 33813-1654
Phone (863) 619-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 1, 2016 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Jan 1, 2016 Accepting new patients
Optometric Associates of Florida, P.a. Optometrist Past Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

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

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

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

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

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

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

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

3600 US 27 N
Sebring, FL 33870
Phone (863) 294-5457

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

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

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

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 5

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295722908",
    "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": "4337 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131654",
            "telephone_number": "863-619-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338054673",
            "country_code": "US",
            "telephone_number": "863-688-1545",
            "fax_number": "863-595-0927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ELIZABETH",
        "middle_name": "PARRISH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620502000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PARRISH",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.