Individual provider Active NPI

Marie Teresa Tartibi, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1588670657
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2613 Issued in FL
Practice address
429 E Michigan St Ste a
Orlando, FL 32806-4523
Phone
(407) 843-3533
Fax
(407) 841-5520
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2613 FL Primary

Addresses

Primary practice location

429 E Michigan St Ste a
Orlando, FL 32806-4523

Mailing address

429 E Michigan St Ste a
Orlando, FL 32806-4523
Phone (407) 843-3533

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
I20081201000283 FL Practitioner - Optometry 5799845384 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Global Care Optometry II PA Optometrist CurrentSince Jan 2, 2025 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Mar 1, 2025 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

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

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

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

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

330 N Alafaya Trl
Orlando, FL 32828
Phone (407) 208-1027

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1588670657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E MICHIGAN ST STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064523",
            "telephone_number": "407-843-3533",
            "fax_number": "407-841-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E MICHIGAN ST STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064523",
            "telephone_number": "407-843-3533",
            "fax_number": "407-841-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTIBI",
        "first_name": "MARIE",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.