Active NPI
Alaina Medvetz, OD
- Optometrist
- Winter Park, FL
National Provider Identifier
1629545207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5604
- Practice address
- 1928 Howell Branch Rd
Winter Park, FL 32792-1013 - Phone
- (407) 671-5445
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5604 | FL | Primary |
Addresses
Primary practice location
1928 Howell Branch Rd
Winter Park, FL 32792-1013
Mailing address
10247 Lenox St
Clermont, FL 34711-9130
Phone (941) 900-7282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 S Main St
Suite 250
Keller, TX 76248-7031
Phone (817) 379-6200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10152 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Eyecare PA | Optometrist | Current | Accepting new patients |
| Kelley Eye, LLC | Optometrist | Current | Accepting new patients |
Locations
1928 Howell Branch Rd
Winter Park, FL 32792
Phone (407) 671-5445
601 S Main St
Ste 250
Keller, TX 76248
Phone (817) 379-6200
Organizations & group practices 2
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.
-
- Optometrist
- Keller, TX
- NPI 1497949366
-
- Optometrist
- Winter Park, FL
- NPI 1700519451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1629545207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10247 LENOX ST",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347119130",
"telephone_number": "941-900-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1928 HOWELL BRANCH RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327921013",
"telephone_number": "407-671-5445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDVETZ",
"first_name": "ALAINA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-31",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.