Individual provider Active NPI

Mark Nagy, OD

  • Optometrist
  • Altamonte Springs, FL
National Provider Identifier
1376112367
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5939 Issued in FL
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

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250105000034 FL Practitioner - Optometry 5991233942 Reassigns benefits to 1 organization

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
Omega Vision Center PAGroup PAC ID 6002908647, 3 clinicians

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

LicenseStateTypeSpecialty
OPC5939FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Vision Center PA Optometrist CurrentSince Dec 22, 2024 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.

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

Verify at the official NPI Registry.