Individual provider Active NPI

Annette Elakatt, OD

  • Optometrist
  • Orange, CA
National Provider Identifier
1427610302
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35850 Issued in CA
Practice address
315 E Katella Ave
Orange, CA 92867-4860
Phone
(714) 997-3535
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5679 FL
Optometrist 152W00000X OPT003283 GA
Optometrist 152W00000X 35850 CA Primary

Addresses

Primary practice location

315 E Katella Ave
Orange, CA 92867-4860

Mailing address

9 Harmony Grove Rd
Lilburn, GA 30047-6156

Other practice location 1

13800 Veterans Way
Orlando, FL 32827-7401
Phone (407) 646-5500

Other practice location 2

4475 Roswell Rd Ste 1430
Marietta, GA 30062-8191
Phone (770) 509-3393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190909001054 FL Practitioner - Optometry 9830428382 Reassigns benefits to 2 organizations
I20201210000927 GA Practitioner - Optometry 9830428382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35850CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Aug 2, 2019 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Feb 16, 2020 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Aug 2, 2019 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Vansuch Optometric, Inc. PastSince Jun 15, 2025 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

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

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

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

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

1851 Manchester Expy
Ste B
Columbus, GA 31904
Phone (706) 653-2020

258 Bobby Jones Expy
Martinez, GA 30907
Phone (706) 868-7000

7917 Abercorn St
Savannah, GA 31406
Phone (912) 421-3350

Organizations & group practices 7

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1427610302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HARMONY GROVE RD",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674860",
            "telephone_number": "714-997-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Veterans Way",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277401",
            "country_code": "US",
            "telephone_number": "407-646-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4475 Roswell Rd Ste 1430",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300628191",
            "country_code": "US",
            "telephone_number": "770-509-3393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELAKATT",
        "first_name": "ANNETTE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5679",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003283",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.