Individual provider Active NPI

Diya Abuaita, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1689312068
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6069 Issued in FL
Practice address
1531 S Dale Mabry Hwy
Tampa, FL 33629-5808
Phone
(813) 302-3083
NPI assigned
May 25, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 6069 FL Primary

Addresses

Primary practice location

1531 S Dale Mabry Hwy
Tampa, FL 33629-5808

Mailing address

2802 Maple Brook Loop
Lutz, FL 33558-5050
Phone (813) 817-8722

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
I20220902001633 FL Practitioner - Optometry 6406230887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6069FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Jun 29, 2022 Accepting new patients
Abuaita Eyecare Optometrist CurrentSince Mar 30, 2025 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

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

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

1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

27835 Wesley Chapel Blvd
Wesley Chapel, FL 33544
Phone (813) 907-9122

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1689312068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 MAPLE BROOK LOOP",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585050",
            "telephone_number": "813-817-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295808",
            "telephone_number": "813-302-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUAITA",
        "first_name": "DIYA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.