Individual provider Active NPI

Esha Rajesh Gandhi, OD

  • Optometrist
  • Port Richey, FL
National Provider Identifier
1376218438
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5994 Issued in FL
Practice address
9644 Scenic Dr
Port Richey, FL 34668-4653
Phone
(727) 845-0082
NPI assigned
Aug 11, 2021
Last updated
Sep 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5994 FL Primary

Addresses

Primary practice location

9644 Scenic Dr
Port Richey, FL 34668-4653

Mailing address

19357 Yellow Clover Dr
Tampa, FL 33647-3669
Phone (813) 787-4946

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
I20211004001251 FL Practitioner - Optometry 3870991953 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5994FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearle Capstone Eye Associates, PLLC Optometrist CurrentSince Oct 21, 2024 Accepting new patients
Suncoast Eyecare Centers PLLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients

Locations

1929 W Brandon Blvd
Brandon, FL 33511
Phone (813) 684-7071

2416 W Brandon Blvd
Brandon, FL 33511
Phone (813) 684-7070

25434 Sierra Center Blvd
Lutz, FL 33559
Phone (813) 452-4442

13555 Highway 54
Ste C
Odessa, FL 33556
Phone (813) 454-0670

1601 NW Expressway
Ste 1420
Oklahoma City, OK 73118

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1376218438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19357 YELLOW CLOVER DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473669",
            "telephone_number": "813-787-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9644 SCENIC DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684653",
            "telephone_number": "727-845-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "ESHA",
        "middle_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.