Active NPI
Amy E Carlyle, O.D.
- Optometrist
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6156
- Practice address
- 24444 Sr 54
Lutz, FL 33559-7303 - Phone
- (813) 345-8544
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6156 | FL | Primary |
| Optometrist | 152W00000X | 0618000658 | VA |
Addresses
Primary practice location
24444 Sr 54
Lutz, FL 33559-7303
Mailing address
24444 Sr 54
Lutz, FL 33559-7303
Phone (813) 345-8544
Other practice location 1
8319 Embassy Blvd
Port Richey, FL 34668-5119
Phone (727) 819-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9233865 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
24444 State Rd
Suite 54
Lutz, FL 33559-7303
Phone (813) 345-8544
8319 Embassy Blvd
Port Richey, FL 34668-5119
Phone (727) 819-0440
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6156 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walesby Vision Center P a | Current | Accepting new patients | |
| Optometric Associates, P. C. | Optometrist | Current | Accepting new patients |
| True Focus Eye Care PA | Optometrist | Current | Accepting new patients |
Locations
24444 State Road 54
Lutz, FL 33559
Phone (813) 345-8544
8319 Embassy Blvd
Port Richey, FL 34668
Phone (727) 819-0440
8721 Digges Rd
Manassas, VA 20110
Phone (703) 361-4161
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.
-
- Optometrist
- Port Richey, FL
- NPI 1518098102
-
- Vision Therapy Optometrist
- Oldsmar, FL
- NPI 1265719066
-
- Optometrist
- Manassas, VA
- NPI 1356435499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1700970522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24444 SR 54",
"city": "LUTZ",
"state": "FL",
"postal_code": "335597303",
"telephone_number": "813-345-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24444 SR 54",
"city": "LUTZ",
"state": "FL",
"postal_code": "335597303",
"telephone_number": "813-345-8544"
}
],
"practiceLocations": [
{
"address_1": "8319 Embassy Blvd",
"address_purpose": "LOCATION",
"city": "Port Richey",
"state": "FL",
"postal_code": "346685119",
"country_code": "US",
"telephone_number": "727-819-0440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLYLE",
"first_name": "AMY",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "6156",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000658",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9233865",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.