Individual provider Active NPI

Doris Luong, O.D.

  • Optometrist
  • Largo, FL
National Provider Identifier
1497108450
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5255 Issued in FL
Practice address
10500 Ulmerton Rd
#278
Largo, FL 33771-3544
Phone
(727) 444-0901
NPI assigned
Jul 14, 2016
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5255 FL Primary

Addresses

Primary practice location

10500 Ulmerton Rd
#278
Largo, FL 33771-3544

Mailing address

10500 Ulmerton Rd
#278
Largo, FL 33771-3544
Phone (727) 444-0901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, 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
I20191226001528 NJ Practitioner - Optometry 4789018813 Reassigns benefits to 2 organizations
I20210901003640 FL Practitioner - Optometry 4789018813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5255FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Sep 9, 2021 Accepting new patients
Charles M Cummins, OD, PA Optometrist CurrentSince Jan 16, 2023 Accepting new patients
Charles M. Cummins, OD, PA Optometrist CurrentSince Jan 16, 2023 Accepting new patients
Charles M. Cummins, OD., PA Optometrist Current Accepting new patients
Yekaterina Shteyn, OD, PC CurrentSince Dec 1, 2019 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

77 N Cattlemen Rd
Sarasota, FL 34243
Phone (941) 893-6109

13002 Seminole Blvd
Seminole, FL 33778
Phone (727) 333-4100

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

802 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 858-5615

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

1255 Raritan Rd
Unit 740
Clark, NJ 07066
Phone (732) 388-4035

251 Clifton Ave
Clifton, NJ 07011
Phone (973) 340-2300

112 Eisenhower Pkwy
Ste 129
Livingston, NJ 07039
Phone (973) 994-1444

120 Route 22
Springfield, NJ 07081
Phone (973) 379-5063

255 US Highway 46
Totowa, NJ 07512
Phone (973) 785-8000

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1497108450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD",
            "address_2": "#278",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713544",
            "telephone_number": "727-444-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD",
            "address_2": "#278",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713544",
            "telephone_number": "727-444-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "DORIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.