Individual provider Active NPI

Ayana Pierre, OD

  • Optometrist
  • Davenport, FL
National Provider Identifier
1437798832
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5747 Issued in FL
Practice address
2600 Posner Blvd
Davenport, FL 33837-3638
Phone
(863) 623-3155
Fax
(863) 333-5667
NPI assigned
Jan 2, 2020
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 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 5747 FL Primary

Addresses

Primary practice location

2600 Posner Blvd
Davenport, FL 33837-3638

Mailing address

8866 Conway Rd
Polk City, FL 33868-9020
Phone (786) 431-9026

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
I20200128002709 FL Practitioner - Optometry 7315373032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
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)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5747FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 14, 2019 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 14, 2019 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist PastSince Jan 1, 2020 Accepting new patients

Locations

1230 Posner Blvd
Davenport, FL 33837
Phone (863) 623-3155

2600 Posner Blvd
Davenport, FL 33837
Phone (863) 623-3155

7 Eagle Ridge Dr
Lake Wales, FL 33859
Phone (863) 676-0911

4121 US Highway 98 N
#A140
Lakeland, FL 33809
Phone (863) 859-7100

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

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1437798832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8866 CONWAY RD",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338689020",
            "telephone_number": "786-431-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 POSNER BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373638",
            "telephone_number": "863-623-3155",
            "fax_number": "863-333-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "AYANA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.