Organization Active NPI

Optix Eye Care LLC

  • Optometrist
  • Riverview, FL
National Provider Identifier
1649949728
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTIX EYE CARE LLC
Practice address
11422 U.S. Highway 301 S
Riverview, FL 33578-3357
Phone
(813) 402-2743
Fax
(813) 402-2944
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Rawan Farah, OD
Title
Owner
Phone
(813) 402-2743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

11422 U.S. Highway 301 S
Riverview, FL 33578-3357

Mailing address

11422 US Highway 301 S
Riverview, FL 33578-6170
Phone (813) 402-2743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220321000623 FL Part B Supplier - Clinic/Group Practice 3870988371 Receives reassigned benefits from 1 practitioner
Practice locations: Riverview, FL

National Provider Directory

National Provider Directory

Locations

11422 US Highway 301 S
Riverview, FL 33578
Phone (813) 402-2743

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1649949728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11422 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335786170",
            "telephone_number": "813-402-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11422 U.S. HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783357",
            "telephone_number": "813-402-2743",
            "fax_number": "813-402-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIX EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "RAWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-402-2743",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.