Individual provider Active NPI

Terry Lee Neal, O.D.

  • Optometrist
  • Trinity, FL
National Provider Identifier
1366445819
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2087 Issued in FL
Practice address
3236 Little Rd Ste 1
Trinity, FL 34655-1865
Phone
(727) 236-8797
NPI assigned
May 28, 2005
Reactivated
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2087 FL Primary

Addresses

Primary practice location

3236 Little Rd Ste 1
Trinity, FL 34655-1865

Mailing address

3236 Little Rd Ste 1
Trinity, FL 34655-1865
Phone (727) 236-8797

Other identifiers 1

IdentifierTypeStateIssuer
078314500MedicaidFL

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
I20050414000810 FL Practitioner - Optometry 9032156690 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Nov 30, 2020 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Nov 30, 2020 Accepting new patients
National Vision, Inc. Past Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Brevard Eye Center Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Sight and Sun Eyeworks LLC Optometrist Past Accepting new patients

Locations

417A Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 315-8861

2225 Sun Vista Dr
Lutz, FL 33559
Phone (813) 501-7996

18915 State Road 54
Ste A
Lutz, FL 33558
Phone (813) 909-0554

1308 W Nine Mile Rd
Ste 1112
Pensacola, FL 32534
Phone (850) 479-2020

3875 US Highway 301 S
Ste 5
Riverview, FL 33578
Phone (813) 246-3186

13141 N Dale Mabry Hwy
Ste De
Tampa, FL 33618
Phone (813) 264-2769

5201 E Busch Blvd
Temple Terrace, FL 33617
Phone (813) 979-2929

3238 Little Rd
Trinity, FL 34655
Phone (727) 236-8797

2054 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 820-6150

Interoperability endpoints

  • Direct secure messaging: terryneal@direct.eyecare-partners.com

Organizations & group practices 7

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": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1366445819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 LITTLE RD STE 1",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551865",
            "telephone_number": "727-236-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 LITTLE RD STE 1",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551865",
            "telephone_number": "727-236-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2018-03-27",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078314500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.