Active NPI
Myeyedr Optometry of Florida, LLC
- Optometrist
- Orlando, FL
National Provider Identifier
1689539017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF FLORIDA, LLC
- Practice address
- 4101 Hunters Park LN Ste 400
Orlando, FL 32837-3618 - Phone
- (407) 855-6132
- Fax
- (407) 704-7605
- NPI assigned
- Dec 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Ann Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
4101 Hunters Park LN Ste 400
Orlando, FL 32837-3618
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150603002802 | FL | Part B Supplier - Clinic/Group Practice | 0143541037 |
Receives reassigned benefits from 306 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Myeyedr
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Delray Beach, FL
- NPI 1568319770
-
- Optometrist
- Boca Raton, FL
- NPI 1649127853
-
- Optometrist
- St Augustine, FL
- NPI 1679424519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766016000000",
"number": "1689539017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 HUNTERS PARK LN STE 400",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328373618",
"telephone_number": "407-855-6132",
"fax_number": "407-704-7605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.