Individual provider Active NPI

Linda D Azwell, OD

  • Optometrist
  • Dunnellon, FL
National Provider Identifier
1407083603
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3638 Issued in FL
Practice address
11012 N Williams St
Next to Vision Center
Dunnellon, FL 34432-8319
Phone
(352) 465-9369
Fax
(352) 465-9371
NPI assigned
Jun 15, 2009
Last updated
Apr 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3638 FL Primary

Addresses

Primary practice location

11012 N Williams St
Next to Vision Center
Dunnellon, FL 34432-8319

Mailing address

11150 N Williams St
Suite 108-149
Dunnellon, FL 34432-8363
Phone (352) 804-2015

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
I20110606000120 FL Practitioner - Optometry 4981881729 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

2510 S Washington Ave
Suite 140
Titusville, FL 32780-5043
Phone (321) 289-3504

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3638FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Dec 19, 2024 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Global Care Optometry II PA Optometrist CurrentSince Jan 2, 2025 Accepting new patients
Eye Doctors Optical Outlets, PA Optometrist CurrentSince Oct 1, 2020 Accepting new patients
North Florida Eye Center PA CurrentSince Jun 17, 2019 Accepting new patients
North Florida Eye Center PA CurrentSince Jun 17, 2019 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Past Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Past Accepting new patients

Locations

410 N Main St
Ste 6
Chiefland, FL 32626
Phone (352) 493-2634

6831 NW 11th Pl
Ste 1
Gainesville, FL 32605
Phone (352) 331-7337

18100 NW 57th Ave
Ste 102
Hialeah, FL 33015
Phone (786) 746-9296

104 W Vine St
#C
Kissimmee, FL 34741
Phone (407) 944-4240

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

9571 W Colonial Dr
Ocoee, FL 34761
Phone (407) 522-4705

5020 E Colonial Dr
Orlando, FL 32803
Phone (321) 430-1266

741 N Alafaya Trl
Unit H1
Orlando, FL 32828
Phone (407) 658-1693

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

2510 S Washington Ave
Ste 140
Titusville, FL 32780
Phone (321) 289-3504

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15944/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1407083603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 N WILLIAMS ST",
            "address_2": "SUITE 108-149",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328363",
            "telephone_number": "352-804-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 N WILLIAMS ST",
            "address_2": "NEXT TO VISION CENTER",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328319",
            "telephone_number": "352-465-9369",
            "fax_number": "352-465-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZWELL",
        "first_name": "LINDA",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

Verify at the official NPI Registry.