Individual provider Active NPI

David Russell Ness, O.D.

  • Optometrist
  • Silver Springs, FL
National Provider Identifier
1346324308
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2612 Issued in FL
Practice address
15936 E Highway 40
Silver Springs, FL 34488-5144
Phone
(352) 625-0135
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2612 FL Primary

Addresses

Primary practice location

15936 E Highway 40
Silver Springs, FL 34488-5144

Mailing address

15936 E Highway 40
Silver Springs, FL 34488-5144
Phone (352) 625-0135

Other practice location 1

1128 Bichara Blvd
Lady Lake, FL 32159-7716
Phone (352) 750-2414

Other identifiers 1

IdentifierTypeStateIssuer
620294200MedicaidFL

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
I20031114000083 FL Practitioner - Optometry 7618881616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1990
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)

1128 Bichara Blvd
Lady Lake, FL 32159-7716
Phone (352) 750-2414

15936 E Hwy 40
Silver Springs, FL 34488-5144
Phone (352) 625-0135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2612FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David Ness OD PA Optometrist CurrentSince Oct 15, 1997 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 7, 2021 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 7, 2021 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

1320 Shelfer St
Leesburg, FL 34748
Phone (352) 728-8318

15936 Sr 40
Silver Springs, FL 34488
Phone (352) 625-0135

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

1128 Bichara Blvd
The Villages, FL 32159
Phone (352) 750-2414

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1346324308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15936 E HIGHWAY 40",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344885144",
            "telephone_number": "352-625-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15936 E HIGHWAY 40",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344885144",
            "telephone_number": "352-625-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 Bichara Blvd",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321597716",
            "country_code": "US",
            "telephone_number": "352-750-2414",
            "fax_number": "352-259-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESS",
        "first_name": "DAVID",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620294200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Springs, FL

Sources for this page

Verify at the official NPI Registry.