Individual provider Active NPI

Natasha L Handy, O.D.

  • Optometrist
  • Kissimmee, FL
National Provider Identifier
1669548426
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4123 Issued in FL
Practice address
1150 E Vine St
Kissimmee, FL 34744-3579
Phone
(407) 931-2012
Fax
(407) 982-7628
NPI assigned
Nov 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4123 FL Primary

Addresses

Primary practice location

1150 E Vine St
Kissimmee, FL 34744-3579

Mailing address

2021 Rickover PL
Winter Garden, FL 34787-5486
Phone (407) 538-9557

Other names 1

  • Natasha L Cummings Former name

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
I20071121000143 FL Practitioner - Optometry 5092803205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4123FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Feb 1, 2007 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Feb 1, 2007 Accepting new patients

Locations

4455 Cleveland Ave
Ste A
Fort Myers, FL 33901
Phone (239) 939-5393

1150 E Vine St
Kissimmee, FL 34744
Phone (407) 931-2012

7 Eagle Ridge Dr
Lake Wales, FL 33859
Phone (863) 676-0911

3761 Tamiami Trl E
Naples, FL 34112
Phone (239) 261-0229

9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921

6901 22nd Ave N
Rm 760
St Petersburg, FL 33710
Phone (727) 343-3006

8025 Citrus Park Town Ctr
Tampa, FL 33625
Phone (813) 792-1628

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

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": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1669548426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 RICKOVER PL",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875486",
            "telephone_number": "407-538-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443579",
            "telephone_number": "407-931-2012",
            "fax_number": "407-982-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDY",
        "first_name": "NATASHA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "CUMMINGS",
            "middle_name": "L",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.