Individual provider Active NPI

Paul Hogue, OD

  • Optometrist
  • Winter Haven, FL
National Provider Identifier
1457969255
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6597 Issued in FL
Practice address
410 E Central Ave
Winter Haven, FL 33880-3050
Phone
(863) 293-0276
Fax
(863) 299-3172
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6597 FL Primary

Addresses

Primary practice location

410 E Central Ave
Winter Haven, FL 33880-3050

Mailing address

410 E Central Ave
Winter Haven, FL 33880-3050
Phone (863) 293-0276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL2 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
I20201026003220 MS Practitioner - Optometry 6103246467 Reassigns benefits to 1 organization
I20250317000133 FL Practitioner - Optometry 6103246467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eyecare of Winter Haven PLLCGroup PAC ID 1658636956, 3 clinicians

Practice addresses (Care Compare)

410 E Central Ave
Winter Haven, FL 33880-3050
Phone (863) 293-0276

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6597FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare of Winter Haven PLLC Optometrist CurrentSince Mar 11, 2025 Accepting new patients
Optical 2000 Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Kevin L. Henne O.D. Optometrist PastSince Mar 11, 2025 Accepting new patients
Optical 2000 of Flora PA Optometrist PastSince Jul 27, 2020 Accepting new patients

Locations

410 E Central Ave
Winter Haven, FL 33880
Phone (863) 293-0276

115 Cynthia St
Clinton, MS 39056
Phone (601) 924-4444

655 Highway 49 S
Ste M
Richland, MS 39218
Phone (601) 932-3727

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, 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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1457969255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803050",
            "telephone_number": "863-293-0276",
            "fax_number": "863-299-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803050",
            "telephone_number": "863-293-0276",
            "fax_number": "863-299-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.