Individual provider Active NPI

Maheen Tariq Sharfuddin, OD

  • Optometrist
  • Palm Springs, FL
National Provider Identifier
1740991090
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6146 Issued in FL
Practice address
2889 10TH Ave N
Palm Springs, FL 33461-3045
Phone
(239) 985-7171
Fax
(239) 985-7118
NPI assigned
Dec 7, 2022
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6146 FL Primary

Addresses

Primary practice location

2889 10TH Ave N
Palm Springs, FL 33461-3045

Mailing address

44 Barkley Cir
Fort Myers, FL 33907-7530
Phone (239) 985-7171

Other practice location 1

2550 S Douglas Rd
Coral Gables, FL 33134-6104
Phone (239) 985-7171

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
I20230601000641 FL Practitioner - Optometry 9032576350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visual Health and Surgical Center IncGroup PAC ID 8921992512, 6 clinicians

Practice addresses (Care Compare)

2889 10TH Ave N
Palm Springs, FL 33461-3045
Phone (561) 849-4280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6146FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Health and Surgical Center Inc Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Palm Beach Outpatient Surgical Center, LLC PastSince Mar 24, 2025 Accepting new patients

Locations

2550 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 443-7070

44 Barkley Cir
Fort Myers, FL 33907
Phone (239) 437-4010

2889 10th Ave N
Palm Springs, FL 33461
Phone (561) 227-3167

2889 10th Ave N
Ste 305
Palm Springs, FL 33461
Phone (561) 227-3117

2889 10th Ave N
Ste 306
Palm Springs, FL 33461
Phone (561) 227-3101

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1740991090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077530",
            "telephone_number": "239-985-7171",
            "fax_number": "239-985-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613045",
            "telephone_number": "239-985-7171",
            "fax_number": "239-985-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 S Douglas Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331346104",
            "country_code": "US",
            "telephone_number": "239-985-7171",
            "fax_number": "239-985-7118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARFUDDIN",
        "first_name": "MAHEEN",
        "middle_name": "TARIQ",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.