Individual provider Active NPI

Hannah Elizabeth Marsh Withrow, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1568229649
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6425 Issued in FL
Practice address
1531 S Dale Mabry Hwy
Tampa, FL 33629-5808
Phone
(605) 760-1018
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6425 FL Primary

Addresses

Primary practice location

1531 S Dale Mabry Hwy
Tampa, FL 33629-5808

Mailing address

6301 S West Shore Blvd Apt 1221
Tampa, FL 33616-1367
Phone (605) 760-1018

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
I20240813002879 FL Practitioner - Optometry 5496293128 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6425FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Jun 30, 2024 Accepting new patients
Global Care Optometry II PA Optometrist CurrentSince Dec 16, 2024 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

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

13217 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-1209

10934 N Dale Mabry Hwy
Carrollwood, FL 33618
Phone (813) 559-4990

741 N Alafaya Trl
Unit H1
Orlando, FL 32828
Phone (407) 658-1693

1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1568229649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 S WEST SHORE BLVD APT 1221",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161367",
            "telephone_number": "605-760-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295808",
            "telephone_number": "605-760-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH MARSH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.