Individual provider Active NPI

Ann Anjuley Patel, O.D

  • Optometrist
  • Brandon, FL
National Provider Identifier
1447565817
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4546 Issued in FL
Practice address
403 Vonderburg Dr
Brandon, FL 33511-5982
Phone
(813) 654-0528
Fax
(813) 654-4365
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4546 FL Primary
Optometrist 152W00000X TUV-007635 NY

Addresses

Primary practice location

403 Vonderburg Dr
Brandon, FL 33511-5982

Mailing address

403 Vonderburg Dr
Brandon, FL 33511-5982
Phone (813) 654-0528

Other practice location 1

1701 Rickenbacker Dr Ste 102
Sun City Center, FL 33573-5363
Phone (813) 634-8877

Other practice location 2

612 N US Highway 41
Ruskin, FL 33570-3769
Phone (813) 645-3831

Other practice location 3

3830 Sun City Center Blvd Ste N105
Sun City Center, FL 33573-6820
Phone (813) 634-6155 ext. 46155

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apatel@eapinellas.intellechartdirect.net Southeast Eye Institute, PA
Direct Messaging Address apatel@floridaeye.intellechartdirect.net

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
I20140710001466 FL Practitioner - Optometry 6800083056 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory L Henderson MD Facs IncGroup PAC ID 9739172321, 31 clinicians

Practice addresses (Care Compare)

403 Vonderburg Dr
Suite 101
Brandon, FL 33511-5501

612 N US Hwy 41
Florida Eye Specialists and Cataract Institut
Ruskin, FL 33570-3769
Phone (813) 645-3831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8774TXMDChiropractor
TUV-007635NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Nov 4, 2021 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist Current Accepting new patients
Southeast Eye Institute, PA Optometrist CurrentSince Jun 1, 2025 Accepting new patients
JSK Eyecare Optometrist CurrentSince Mar 1, 2020 Accepting new patients
MCR Health, Inc. Optometrist CurrentSince Nov 4, 2021 Accepting new patients
Gregory L Henderson MD Facs Inc CurrentSince Oct 1, 2022 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist Past Accepting new patients
State of New York Comptrollers Office Optometrist Past Accepting new patients

Locations

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

403 Vonderburg Dr
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

135 W Robertson St
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

749 State Road 60 E
Lake Wales, FL 33853
Phone (863) 676-7624

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

2002 S Alexander St
Plant City, FL 33563
Phone (813) 754-3593

13106 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 392-3311

612 N US Highway 41
Ruskin, FL 33570
Phone (813) 645-3831

612 N US Highway 41
Fl Eye
Ruskin, FL 33570
Phone (813) 645-3831

1915 34th St N
St Petersburg, FL 33713
Phone (727) 485-8146

3830 Sun City Center Blvd
Ste N105
Sun City Center, FL 33573
Phone (813) 634-6155

1701 Rickenbacker Dr
Ste 102
Sun City Center, FL 33573
Phone (813) 634-8877

3830 Sun City Center Blvd
Ste 105
Sun City Center, FL 33573
Phone (813) 634-6155

3115 W Swann Ave
Tampa, FL 33609
Phone (813) 492-2020

901 N Bedell Ave
Ste E
Del Rio, TX 78840
Phone (830) 775-2020

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: apatel@floridaeye.intellechartdirect.net

Organizations & group practices 10

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1447565817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115982",
            "telephone_number": "813-654-0528",
            "fax_number": "813-654-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115982",
            "telephone_number": "813-654-0528",
            "fax_number": "813-654-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Rickenbacker Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735363",
            "country_code": "US",
            "telephone_number": "813-634-8877",
            "fax_number": "813-634-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 N US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Ruskin",
            "state": "FL",
            "postal_code": "335703769",
            "country_code": "US",
            "telephone_number": "813-645-3831",
            "fax_number": "813-645-4402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3830 Sun City Center Blvd Ste N105",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736820",
            "country_code": "US",
            "telephone_number": "813-634-6155 x46155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANN",
        "middle_name": "ANJULEY",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4546",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-007635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apatel@eapinellas.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Southeast Eye Institute, PA",
            "address_1": "3830 Sun City Center Blvd Ste N105",
            "city": "Sun City Center",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335736820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apatel@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Florida Eye Specialists and Cataract Institute",
            "address_1": "612 N US Highway 41",
            "city": "Ruskin",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335703769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.