Individual provider Active NPI

Phillip J. Mackinder, O.D.

  • Optometrist
  • Winter Park, FL
National Provider Identifier
1730171174
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3140 Issued in FL
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

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
E0073ZOtherFLMEDICARE
410040684OtherFLMEDICARE RR
20841OtherFLBCBS

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
I20041215000267 FL Practitioner - Optometry 6103883913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Eye Specialists PLGroup PAC ID 8820184831, 12 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
79.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3140FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Volusia Optical, L.L.C Current Accepting new patients
Volusia Optical, L.L.C. CurrentSince Oct 14, 2004 Accepting new patients
Gainesville Eye Associates LLC Optometrist Current Accepting new patients
Central Florida Eye Specialists PL CurrentSince Sep 1, 1999 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

  • Direct secure messaging: pmackinder@esp.intellechartdirect.net
  • FHIR API: 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.

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

Verify at the official NPI Registry.