Active NPI
Mark Nagy, OD
- Optometrist
- Altamonte Springs, FL
National Provider Identifier
1376112367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5939
- Practice address
- 303 E Altamonte Dr # 10601100
Altamonte Springs, FL 32701-4411 - Phone
- (407) 551-0285
- NPI assigned
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5939 | FL | Primary |
Addresses
Primary practice location
303 E Altamonte Dr # 10601100
Altamonte Springs, FL 32701-4411
Mailing address
602 Prairie Meadows CT
Cary, NC 27519-6306
Phone (609) 649-8005
Other practice location 1
105 E Lake Brantley Dr
Longwood, FL 32779-4806
Phone (407) 869-4733
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 E Lake Brantley Dr
Longwood, FL 32779-4806
Phone (407) 869-4733
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5939 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega Vision Center PA | Optometrist | Current | Accepting new patients |
Locations
105 E Lake Brantley Dr
Longwood, FL 32779
Phone (407) 868-4733
Organizations & group practices 1
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.
-
- Optometrist
- Longwood, FL
- NPI 1598822249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1376112367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 PRAIRIE MEADOWS CT",
"city": "CARY",
"state": "NC",
"postal_code": "275196306",
"telephone_number": "609-649-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E ALTAMONTE DR # 10601100",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014411",
"telephone_number": "407-551-0285"
}
],
"practiceLocations": [
{
"address_1": "105 E Lake Brantley Dr",
"address_purpose": "LOCATION",
"city": "Longwood",
"state": "FL",
"postal_code": "327794806",
"country_code": "US",
"telephone_number": "407-869-4733",
"fax_number": "407-869-1782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGY",
"first_name": "MARK",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.