Individual provider Active NPI

Austin Thomas Isaac, MD, MBA

  • Ophthalmology Physician
  • Ormond Beach, FL
National Provider Identifier
1356072219
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME179818 Issued in FL
Practice address
1545 Hand Ave Ste B3
Ormond Beach, FL 32174-1140
Phone
(904) 564-2020
Fax
(904) 518-3297
NPI assigned
Jun 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME179818 FL Primary

Addresses

Primary practice location

1545 Hand Ave Ste B3
Ormond Beach, FL 32174-1140

Mailing address

238 Eagle Harbor Way
Daytona Beach, FL 32124-1023
Phone (678) 920-4721

Other practice location 1

3 Pine Cone Dr Ste 104
Palm Coast, FL 32137-8684
Phone (386) 446-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1356072219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 EAGLE HARBOR WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241023",
            "telephone_number": "678-920-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HAND AVE STE B3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741140",
            "telephone_number": "904-564-2020",
            "fax_number": "904-518-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Pine Cone Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378684",
            "country_code": "US",
            "telephone_number": "386-446-9590",
            "fax_number": "386-446-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "AUSTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME179818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.