Organization Active NPI

Refractionistas

  • Optometrist
  • Lakeland, FL
National Provider Identifier
1306408075
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REFRACTIONISTAS
Practice address
1400 S Florida Ave
Lakeland, FL 33803-2257
Phone
(954) 558-1152
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Ornella AluwiesiNPI 1154662427
Title
Owner/Doctor
Phone
(863) 250-5553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1400 S Florida Ave
Lakeland, FL 33803-2257

Mailing address

1400 S Florida Ave
Lakeland, FL 33803-2257
Phone (954) 558-1152

Other names 1

  • EYES ON LAKELAND Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190812000076 FL Part B Supplier - Clinic/Group Practice 9638406820 Receives reassigned benefits from 2 practitioners
Practice locations: Lakeland, FL

National Provider Directory

National Provider Directory

Locations

1400 S Florida Ave
Lakeland, FL 33803
Phone (863) 250-5553

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1306408075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032257",
            "telephone_number": "954-558-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032257",
            "telephone_number": "954-558-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRACTIONISTAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "ALUWIESI",
        "authorized_official_first_name": "ORNELLA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "863-250-5553"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYES ON LAKELAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.