Active NPI
Phillip J. Mackinder, O.D.
- Optometrist
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3140
- Practice address
- 312 N Park Ave
Winter Park, FL 32789-3305 - Phone
- (407) 644-5156
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3140 | FL | Primary |
Addresses
Primary practice location
312 N Park Ave
Winter Park, FL 32789-3305
Mailing address
1592 South State Road 15-a
Deland, FL 32720
Phone (386) 734-2931
Other practice location 1
1592 South State Road 15-A
Deland, FL 32720
Phone (386) 734-2931
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0073Z | Other | FL | MEDICARE |
| 410040684 | Other | FL | MEDICARE RR |
| 20841 | Other | FL | BCBS |
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
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1592 S Sr
15A
Deland, FL 32720-7786
Phone (386) 734-2931
2715 Rebecca LN
Orange City, FL 32763-8323
Phone (386) 917-0404
968 International Pkwy
Lake Mary, FL 32746-5219
Phone (407) 878-6518
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.88 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC3140 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volusia Optical, L.L.C | Current | Accepting new patients | |
| Volusia Optical, L.L.C. | Current | Accepting new patients | |
| Gainesville Eye Associates LLC | Optometrist | Current | Accepting new patients |
| Central Florida Eye Specialists PL | Current | Accepting new patients | |
| Ophthalmic Partners of Florida PA | Past | Accepting new patients |
Locations
305 E New York Ave
Deland, FL 32724
Phone (386) 734-2931
1592 S State Road 15A
Deland, FL 32720
Phone (386) 734-2931
968 International Pkwy
Lake Mary, FL 32746
Phone (407) 878-6518
2715 Rebecca Ln
Orange City, FL 32763
Phone (386) 917-0404
2445 S Volusia Ave
Ste C1
Orange City, FL 32763
Phone (386) 734-2931
312 N Park Ave
Winter Park, FL 32789
Phone (407) 644-5156
500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808
Interoperability endpoints
- pmackinder@esp.intellechartdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- Deland, FL
- NPI 1548259898
-
- Eyewear Supplier
- Deland, FL
- NPI 1609885193
-
- Eyewear Supplier
- Orange City, FL
- NPI 1497139885
-
dba Central Florida Retina
- Ophthalmology Physician
- Orlando, FL
- NPI 1740387968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1730171174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1592 SOUTH STATE ROAD 15-A",
"city": "DELAND",
"state": "FL",
"postal_code": "32720",
"telephone_number": "386-734-2931",
"fax_number": "386-734-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N PARK AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893305",
"telephone_number": "407-644-5156"
}
],
"practiceLocations": [
{
"address_1": "1592 South State Road 15-A",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "32720",
"country_code": "US",
"telephone_number": "386-734-2931",
"fax_number": "386-734-2939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKINDER",
"first_name": "PHILLIP",
"middle_name": "J.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "E0073Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "410040684",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20841",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.