Laura Nicole Blodgett Fernandez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6347 Issued in FL

Practice address

1155 Winter Garden Vineland Rd Ste 102
Winter Garden, FL 34787-4375

Phone

(407) 656-3755

NPI assigned

Jul 20, 2011

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, 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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Quachle LLC

  dba The Eye Place of Hamlin

  • Optometrist
  • Winter Garden, FL
  • NPI 1043706138
  Medicare reassignment NPD
• Thuy Tran Quach O D P a

  • Optometrist
  • Winter Garden, FL
  • NPI 1871617928
  Medicare reassignment NPD
• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Clearwater, FL
  • NPI 1013108091
  NPD (past)
• Eye Doctors Optical Outlets PA

  • Optometrist
  • St Petersburg, FL
  • NPI 1184815086
  NPD (past)
• Eye Doctors Optical Outlets PA

  • Optometrist
  • St Petersburg, FL
  • NPI 1215358833
  NPD (past)
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Pinellas Park, FL
  • NPI 1700077781
  NPD (past)
• Kingsbridge Optometric Eye Care P.C.

  dba kingsbridge eye center

  • Optometrist
  • Bronx, NY
  • NPI 1487637500
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1508154873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15426 SOUTHERN MARTIN ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874899",
            "telephone_number": "716-465-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WINTER GARDEN VINELAND RD STE 102",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874375",
            "telephone_number": "407-656-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLODGETT FERNANDEZ",
        "first_name": "LAURA",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007695",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julie Boesch, RMHCI

• Optometrist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.