Individual provider Active NPI

Alaina Medvetz, OD

  • Optometrist
  • Winter Park, FL
National Provider Identifier
1629545207
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5604 Issued in FL
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

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20181212001200 FL Practitioner - Optometry 5294079661
I20210113002292 TX Practitioner - Optometry 5294079661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Eyecare PAGroup PAC ID 9335226851, 4 clinicians

Practice addresses (Care Compare)

601 S Main St
Suite 250
Keller, TX 76248-7031
Phone (817) 379-6200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10152TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eyecare PA Optometrist CurrentSince Jan 4, 2021 Accepting new patients
Kelley Eye, LLC Optometrist CurrentSince Jul 10, 2022 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.

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

Verify at the official NPI Registry.