Individual provider Active NPI

Divya Bellapu Reddy, OD

  • Optometrist
  • Boynton Beach, FL
National Provider Identifier
1316618887
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6018 Issued in FL
Practice address
706 W Boynton Beach Blvd
Boynton Beach, FL 33426-3649
Phone
(561) 738-1700
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 OPC6018 FL Primary

Addresses

Primary practice location

706 W Boynton Beach Blvd
Boynton Beach, FL 33426-3649

Mailing address

7710 Brunson Cir
Lake Worth, FL 33467-7799

Other practice location 1

1929A W Brandon Blvd
Brandon, FL 33511-4813
Phone (813) 681-8880

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
I20211012000279 FL Practitioner - Optometry 4688072317 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6018FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care, PLLC Optometrist CurrentSince Jun 3, 2024 Accepting new patients
Stephanie Cortes OD PA Optometrist CurrentSince Oct 7, 2021 Accepting new patients
Suncoast Eyecare Centers PLLC Optometrist CurrentSince Dec 12, 2022 Accepting new patients
Howell Cohen O D P a Optometrist CurrentSince Oct 7, 2021 Accepting new patients

Locations

706 W Boynton Beach Blvd
Ste 101
Boynton Beach, FL 33426
Phone (561) 732-5665

2416 W Brandon Blvd
Brandon, FL 33511
Phone (813) 684-7070

1929 W Brandon Blvd
Brandon, FL 33511
Phone (813) 684-7071

307 Brandon Town Center Mall
Brandon, FL 33511
Phone (813) 684-0815

1929A W Brandon Blvd
Brandon, FL 33511
Phone (813) 662-2200

359 Marsh Landing Pkwy
Jacksonville Beach, FL 32250
Phone (904) 280-0011

316 S Hamilton Rd
Gahanna, OH 43230

Organizations & group practices 4

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1316618887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 BRUNSON CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263649",
            "telephone_number": "561-738-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1929A W Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114813",
            "country_code": "US",
            "telephone_number": "813-681-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "DIVYA",
        "middle_name": "BELLAPU",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.