Individual provider Active NPI

Edyta H Weppelmann, OD

  • Optometrist
  • Orlando, FL
National Provider Identifier
1376142828
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5875 Issued in FL
Practice address
400 N Bumby Ave
Orlando, FL 32803-6028
Phone
(407) 893-6222
Fax
(407) 896-4200
NPI assigned
Oct 25, 2020
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 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 OPC5875 FL Primary

Addresses

Primary practice location

400 N Bumby Ave
Orlando, FL 32803-6028

Mailing address

400 N Bumby Ave
Orlando, FL 32803-6028
Phone (407) 893-6222

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
I20201211000421 FL Practitioner - Optometry 8325450596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Florida Eye Center PAGroup PAC ID 4385678747, 11 clinicians

Practice addresses (Care Compare)

17560 US Hwy 441
Mount Dora, FL 32757-6711
Phone (352) 744-7002

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as group
Quality
97.39
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5875FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Florida Eye Center PA Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Delray Eye Associates PA Optometrist Current Accepting new patients
DRS. Perry, Perry & Associates, Orlando, P.a. Optometrist CurrentSince Sep 3, 2025 Accepting new patients

Locations

17560 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-7855

400 N Bumby Ave
Orlando, FL 32803
Phone (407) 893-5622

17556 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 347-2100

5743 Williamsburg Ln
Wildwood, FL 34785
Phone (352) 735-2021

Interoperability endpoints

  • Direct secure messaging: edyta.bogusz@esmf.direct.eyemdemr.com
  • Direct secure messaging: edyta.weppelmann.p4@direct.drea.nextgenshare.com
  • Direct secure messaging: eweppelmann@espflorida.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1376142828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BUMBY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036028",
            "telephone_number": "407-893-6222",
            "fax_number": "407-896-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BUMBY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036028",
            "telephone_number": "407-893-6222",
            "fax_number": "407-896-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEPPELMANN",
        "first_name": "EDYTA",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.