Individual provider Active NPI

Leiseane Paiva Almeida, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1386027662
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5063 Issued in FL
Practice address
3108 N Boundary Blvd
BLDG 926
Tampa, FL 33621-5050
Phone
(813) 840-1161
Fax
(813) 840-1173
NPI assigned
Jul 3, 2015
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT6422 OH
Optometrist 152W00000X OPC5063 FL Primary

Addresses

Primary practice location

3108 N Boundary Blvd
BLDG 926
Tampa, FL 33621-5050

Mailing address

3108 N Boundary Blvd BLDG 926
Tampa, FL 33621-5050
Phone (813) 840-1161

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
I20171220002985 FL Practitioner - Optometry 8123386109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT6422OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Sep 19, 2017 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

13534 Beach Blvd
#3
Jacksonville, FL 32224
Phone (904) 383-3400

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

Organizations & group practices 4

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": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1386027662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 N BOUNDARY BLVD BLDG 926",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336215050",
            "telephone_number": "813-840-1161",
            "fax_number": "813-840-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 N BOUNDARY BLVD",
            "address_2": "BLDG 926",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336215050",
            "telephone_number": "813-840-1161",
            "fax_number": "813-840-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMEIDA",
        "first_name": "LEISEANE",
        "middle_name": "PAIVA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT6422",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.