Fanny Maritza Muniz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5879 Issued in FL

Practice address

13217 Cortez Blvd
Brooksville, FL 34613-6807

Phone

(352) 597-1209

Fax

(877) 210-5491

NPI assigned

Oct 26, 2020

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Fanny Maritza Gutt Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eye in Sight, LLC

  • Optometrist
  • Brooksville, FL
  • NPI 1598267882
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1730789256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13217 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136807",
            "telephone_number": "352-597-1209",
            "fax_number": "877-210-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13217 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136807",
            "telephone_number": "352-597-1209",
            "fax_number": "877-210-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "FANNY",
        "middle_name": "MARITZA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FANNY",
            "last_name": "GUTT",
            "middle_name": "MARITZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Azzam Muftah, M.D.
• Sierra Jo Muilenburg-Alvarez, APRN
• Selman Mujevic, MD
• Kristina Mullenix
• Angela N Mulligan
• Jillian Munson, LMHC
• Hannah Edith Murray, OTR
• Kendall Murray, MS, RDN, LDN
• Adeeb Mustafa, MD
• Muttathil P Ravindra Nathan MD PA (Hernando Heart Clinic)

• Optometrist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.