Individual provider Active NPI

Derek Alexander Richardson, OD

  • Optometrist
  • Sarasota, FL
National Provider Identifier
1477809697
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5098 Issued in FL
Practice address
3900 Clark Rd Ste P1
Sarasota, FL 34233-2379
Phone
(941) 926-2020
Fax
(941) 926-2021
NPI assigned
Jul 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 OPC5098 FL Primary

Addresses

Primary practice location

3900 Clark Rd Ste P1
Sarasota, FL 34233-2379

Mailing address

3900 Clark Rd Ste P1
Sarasota, FL 34233-2379
Phone (941) 926-2020

Other practice location 1

101 N Cattlemen Rd
Sarasota, FL 34243-4700
Phone (941) 351-1806

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
I20241216001063 FL Practitioner - Optometry 6901332832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Center of Sarasota LLCGroup PAC ID 9830625763, 3 clinicians

Practice addresses (Care Compare)

3900 Clark Rd
Suite P1
Sarasota, FL 34233-2379
Phone (941) 926-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Center of Sarasota LLC Optometrist CurrentSince Dec 1, 2024 Accepting new patients

Locations

3900 Clark Rd
Ste P1
Sarasota, FL 34233
Phone (941) 525-8497

Organizations & group practices 1

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1477809697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE P1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332379",
            "telephone_number": "941-926-2020",
            "fax_number": "941-926-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE P1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332379",
            "telephone_number": "941-926-2020",
            "fax_number": "941-926-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Cattlemen Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342434700",
            "country_code": "US",
            "telephone_number": "941-351-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DEREK",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.