Anisa R Patail, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5987 Issued in FL

Practice address

407 Avenue K SE
Winter Haven, FL 33880-4126

Phone

(863) 294-3504

NPI assigned

Aug 4, 2021

Last updated

Aug 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Specialists of Mid Florida PAGroup PAC ID 8022003235, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anisa.patail@esmf.direct.eyemdemr.com

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 Specialists of Mid Florida PA

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1366437162

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Specialists of Mid Florida, PA

  • Health Service Clinic/Center
  • Auburndale, FL
  • NPI 1700370616
  NPD
• Eye Specialists of Mid Florida, PA

  • Ophthalmology Physician
  • Sebring, FL
  • NPI 1487980967
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1821762774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAIL",
        "first_name": "ANISA",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPC5987",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtorres@eyesfl.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "407 Avenue K SE",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338804126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Dean Parks, P.T.
• Julie Anne Parks, APRN, CNM
• Crystal Lee Parrish
• Marleni Partida
• Leticia Pastor
• Akash Pareshbhai Patel
• Ankit K Patel, DMD
• Bhargavi S Patel, PHARMD
• Bhavik S Patel, RPH
• Dhaval M Patel

• Optometrist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.