Individual provider Active NPI

Joseph Lewis Licht, D.O.

  • Ophthalmology Physician
  • Crystal River, FL
National Provider Identifier
1497147680
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS16173 Issued in FL
Practice address
1100 N Lyle Ave
Crystal River, FL 34429-8741
Phone
(352) 320-2007
Fax
(305) 675-3370
NPI assigned
Feb 24, 2015
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS16173 FL
Ophthalmology Physician 207W00000X OS16173 FL Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X OS16173 FL

Addresses

Primary practice location

1100 N Lyle Ave
Crystal River, FL 34429-8741

Mailing address

4330 Sheridan St # 102B
Hollywood, FL 33021-1407
Phone (954) 287-2010

Other identifiers 1

IdentifierTypeStateIssuer
112937700MedicaidFL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116003210 FL Practitioner - OphthalmologyPractitioner - Osteopathic Manipulative Medicine 3678868536 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Abita Eye Group LLCGroup PAC ID 4082957048, 4 clinicians
St Lukes at the Villages PAGroup PAC ID 5294987905, 16 clinicians
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians
Vision One IncGroup PAC ID 9830197623, 8 clinicians

Practice addresses (Care Compare)

10495 Spring Hill Dr
Spring Hill, FL 34608-5045
Phone (727) 591-9997

1050 Old Camp Rd
Suite 230
The Villages, FL 32162-1762
Phone (352) 350-8484

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

801 N Stone St
Deland, FL 32720-3255
Phone (386) 734-4431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16173FLMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Surgical at the Villages, Inc CurrentSince Feb 1, 2023 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Aug 5, 2025 Accepting new patients
Associated Comprehensive Eyecare P a Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Vision One Inc CurrentSince Apr 15, 2023 Accepting new patients
Central Florida Cataract and Laser Surgery Center, Inc. Ophthalmology CurrentSince Apr 15, 2023 Accepting new patients
Licht Medical Consultants, LLC Neuromusculoskeletal Medicine & Omm CurrentSince Feb 14, 2021 Accepting new patients
Abita Eye Group LLC Ophthalmology CurrentSince Jun 2, 2025 Accepting new patients
St . Lukes at the Villages, PA Ophthalmology CurrentSince Feb 27, 2023 Accepting new patients
Bay Pines Vamc PastSince Feb 27, 2022 Accepting new patients
Vision One Inc PastSince Apr 15, 2023 Accepting new patients

Locations

1100 N Lyle Ave
Crystal River, FL 34429
Phone (352) 320-2007

1900 Mason Ave
Ste 100
Daytona Beach, FL 32117
Phone (386) 274-5525

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

801 N Stone St
Deland, FL 32720
Phone (386) 734-4431

801 N Stone St
Ste B
Deland, FL 32720
Phone (386) 734-4431

4330 Sheridan St
#102B
Hollywood, FL 33021
Phone (954) 287-2010

4330 Sheridan St
Ste 102B
Hollywood, FL 33021
Phone (954) 287-2010

2441 E Fort King St
Ste 100
Ocala, FL 34471
Phone (352) 629-2422

10495 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 683-5220

1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484

2955 Brownwood Blvd
Ste 303
The Villages, FL 32163
Phone (352) 626-1450

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: joseph.licht.p3@direct.stlukeseye.nextgenshare.com
  • Direct secure messaging: joseph.lichtdo.p1@direct.stlukeseye.nextgenshare.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1497147680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 SHERIDAN ST # 102B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211407",
            "telephone_number": "954-287-2010",
            "fax_number": "305-723-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N LYLE AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298741",
            "telephone_number": "352-320-2007",
            "fax_number": "305-675-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHT",
        "first_name": "JOSEPH",
        "middle_name": "LEWIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-24",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS16173",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS16173",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "OS16173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112937700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.