Individual provider Active NPI

Debra J Dahlberg, OD

  • Optometrist
  • Riverview, FL
National Provider Identifier
1750339289
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2269 Issued in FL
Practice address
6152 Delancey Station St
Ste 101
Riverview, FL 33569-4206
Phone
(813) 643-7300
Fax
(813) 643-2276
NPI assigned
May 5, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 OPC2269 FL Primary

Addresses

Primary practice location

6152 Delancey Station St
Ste 101
Riverview, FL 33569-4206

Mailing address

6152 Delancey Station St
Ste 101
Riverview, FL 33569-4206
Phone (813) 643-7300

Other names 1

  • Debra Dahlberg Billing Other name

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
I20050916000431 FL Practitioner - Optometry 8628001914 Reassigns benefits to 1 organization
Practice locations: Riverview, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory L Henderson MD Facs IncGroup PAC ID 9739172321, 31 clinicians

Practice addresses (Care Compare)

711 S Howard Ave
Suite 120
Tampa, FL 33606-2467
Phone (813) 708-5270

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
96.85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory L Henderson MD Facs Inc CurrentSince Jun 1, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist Current Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Jun 1, 2023 Accepting new patients

Locations

135 W Robertson St
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

6152 Delancey Station St
Riverview, FL 33578
Phone (813) 693-6955

6152 Delancey Station St
Ste 101
Riverview, FL 33578
Phone (813) 643-7300

711 S Howard Ave
Ste 120
Tampa, FL 33606
Phone (813) 254-2020

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750339289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6152 DELANCEY STATION ST",
            "address_2": "STE 101",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335694206",
            "telephone_number": "813-643-7300",
            "fax_number": "813-643-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6152 DELANCEY STATION ST",
            "address_2": "STE 101",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335694206",
            "telephone_number": "813-643-7300",
            "fax_number": "813-643-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLBERG",
        "first_name": "DEBRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BILLING",
            "middle_name": "DAHLBERG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.