Individual provider Active NPI

Prajakta Nitinvhai Joshi, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1437640547
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5515 Issued in FL
Practice address
3708 Henderson Blvd
Tampa, FL 33609
Phone
(813) 392-3636
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5515 FL Primary

Addresses

Primary practice location

3708 Henderson Blvd
Tampa, FL 33609

Mailing address

510 E Memorial Rd Ste A4
Oklahoma City, OK 73114-2218
Phone (580) 491-3046

Other practice location 1

1350 4th Ste N
St. Petersburg, FL 33704
Phone (727) 498-5117

Other practice location 2

8504 Citrus Park Dr
Tampa, FL 33625-3003
Phone (813) 514-9220

Other practice location 3

2670 Gulf To Bay Blvd
Clearwater, FL 33759-3901
Phone (727) 777-4546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200228000308 WA Practitioner - Optometry 6002243292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

524 N Macleod Ave
Arlington, WA 98223-1226
Phone (360) 435-2043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5515FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kainth Eye Care LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Pearle Capstone Eye Associates, PLLC Optometrist PastSince Oct 1, 2024 Accepting new patients
Pearle Capstone Eye Associates PLLC Optometrist PastSince Nov 13, 2022 Accepting new patients
Vision Plus Stanwood, PLLC Optometrist PastSince Mar 17, 2020 Accepting new patients

Locations

524 N Macleod Ave
Arlington, WA 98223
Phone (360) 435-2043

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1437640547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MEMORIAL RD STE A4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142218",
            "telephone_number": "580-491-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-392-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 4th Ste N",
            "address_purpose": "LOCATION",
            "city": "St. Petersburg",
            "state": "FL",
            "postal_code": "33704",
            "country_code": "US",
            "telephone_number": "727-498-5117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8504 Citrus Park Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336253003",
            "country_code": "US",
            "telephone_number": "813-514-9220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2670 Gulf To Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337593901",
            "country_code": "US",
            "telephone_number": "727-777-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "PRAJAKTA",
        "middle_name": "NITINVHAI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.