Individual provider Active NPI

Anita Nguyen, OD

  • Optometrist
  • Lakeland, FL
National Provider Identifier
1306420161
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5967 Issued in FL
Practice address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone
(863) 680-7486
Fax
(866) 264-8519
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5967 FL Primary

Addresses

Primary practice location

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065

Mailing address

4120 Ashford Green PL
Tampa, FL 33613-4965

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
I20220329002148 FL Practitioner - Optometry 9638565757 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Eye Institute PA 31 clinicians
Watson Clinic LLP 365 clinicians

Practice addresses (Care Compare)

10755 Park Blvd N
Seminole, FL 33772-5420
Phone (727) 392-0907

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000

Merit-based Incentive Payment System (MIPS)

Final score
87.18 of 100Reported as apm
Quality
70.68
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Feb 26, 2022 Accepting new patients
Southeast Eye Institute, PA Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Watson Clinic LLP CurrentSince May 13, 2024 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jan 22, 2022 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Feb 26, 2022 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

30323 US Highway 19 N
Clearwater, FL 33761
Phone (727) 373-3030

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190

1430 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7337

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

36021 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 772-1000

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

13002 Seminole Blvd
Seminole, FL 33778
Phone (727) 333-4100

10755 Park Blvd
Seminole, FL 33772
Phone (727) 392-0907

4359 35th St N
St Petersburg, FL 33714
Phone (727) 525-3959

1450 66th St N
St Petersburg, FL 33710
Phone (727) 381-3937

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

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1306420161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 ASHFORD GREEN PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053065",
            "telephone_number": "863-680-7486",
            "fax_number": "866-264-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.