Individual provider Active NPI

Linda Lou Kindsvatter, OD

  • Optometrist
  • St Augustine, FL
National Provider Identifier
1336166818
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6657 Issued in FL
Practice address
1100 S Ponce de Leon Blvd Ste 4
St Augustine, FL 32084-6013
Phone
(904) 231-8481
NPI assigned
Jul 17, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4758 OH
Optometrist 152W00000X 6657 FL Primary
Optometrist 152W00000X 1693DT KY

Addresses

Primary practice location

1100 S Ponce de Leon Blvd Ste 4
St Augustine, FL 32084-6013

Mailing address

26 Joiner St
St Augustine, FL 32084-2863
Phone (802) 488-0401

Other practice location 1

200 Nocatee Village Dr
Ponte Vedra, FL 32081-5097
Phone (904) 825-4525

Other names 1

  • Linda Hoover Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180103001145 VT Practitioner - Optometry 9335181403
I20250827003364 FL Practitioner - Optometry 9335181403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

1100 -4 S Ponce Deleon Blvd
St. Augustine, FL 32084
Phone (904) 824-0212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6657FLMDOptometrist
1693DTKYMDOptometrist
4758OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Florida Professional PLLC Optometrist CurrentSince Jul 20, 2025 Accepting new patients
Spectera Past Accepting new patients
Dr Joe Terry and Associates, Inc Optometrist PastSince Oct 29, 2023 Accepting new patients
Spectera Past Accepting new patients
Champlain Eye and Vision PLLC Optometrist PastSince Jun 1, 2021 Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients

Locations

3615 W Woolbright Rd
Boynton Beach, FL 33436
Phone (561) 734-1887

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560

111 E 4th St
Ste 440
Alton, IL 62002

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1336166818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 JOINER ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842863",
            "telephone_number": "802-488-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S PONCE DE LEON BLVD STE 4",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846013",
            "telephone_number": "904-231-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Nocatee Village Dr",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320815097",
            "country_code": "US",
            "telephone_number": "904-825-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDSVATTER",
        "first_name": "LINDA",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4758",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6657",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1693DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "HOOVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.