Individual provider Active NPI

Nirmani Pumika Karunathilake, OD

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1801419007
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5788 Issued in FL
Practice address
5533 SW 64TH St
Gainesville, FL 32608-9608
Phone
(352) 271-5967
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X OPC5788 FL
Optometrist 152W00000X OPC5788 FL Primary

Addresses

Primary practice location

5533 SW 64TH St
Gainesville, FL 32608-9608

Mailing address

3642 Grecko Dr
Wesley Chapel, FL 33543-5200
Phone (813) 464-4596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5788FLMDLow Vision Rehabilitation Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1801419007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 GRECKO DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435200",
            "telephone_number": "813-464-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 SW 64TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089608",
            "telephone_number": "352-271-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARUNATHILAKE",
        "first_name": "NIRMANI",
        "middle_name": "PUMIKA",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OPC5788",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.