Individual provider Active NPI

Adriane L Harris

  • Optometrist
  • Zephyrhills, FL
National Provider Identifier
1720315369
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6076 Issued in FL
Practice address
38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone
(813) 715-0195
Fax
(813) 355-5049
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00600300 NJ
Optometrist 152W00000X OPC6076 FL Primary

Addresses

Primary practice location

38101 Market Square Dr
Zephyrhills, FL 33542-7505

Mailing address

38135 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (352) 567-0188

Other practice location 1

31409 Tansy Bnd
Wesley Chapel, FL 33545-4916
Phone (609) 284-1116

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ophth@flmed.directbygreenway.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200408000373 PA Practitioner - Optometry 8820253826 Reassigns benefits to 1 organization
I20220718002926 FL Practitioner - Optometry 8820253826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sightrite Medical FL PLLCGroup PAC ID 9931446887, 8 clinicians
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

17781 Thelma Ave
Jupiter, FL 33458-7942
Phone (561) 746-2998

38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6076FLMDOptometrist
27OA00600300NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Medical FL PLLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Jun 18, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Jun 18, 2024 Accepting new patients

Locations

575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

38101 Market Square Dr
Zephyrhills, FL 33542
Phone (813) 715-0195

267 Broadway
Brooklyn, NY 11211

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Networks

  • Freedom Health HMO Network

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": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1720315369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "352-567-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38101 MARKET SQUARE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-715-0195",
            "fax_number": "813-355-5049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31409 Tansy Bnd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335454916",
            "country_code": "US",
            "telephone_number": "609-284-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ADRIANE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00600300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ophth@flmed.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "38101 Market Square Dr",
            "city": "Zephyrhills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335427505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.