Active NPI
Adrianna Simmons, OD
- Optometrist
- Port Saint Lucie, FL
National Provider Identifier
1841032406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6467
- Practice address
- 10720 SW Village Pkwy
Port Saint Lucie, FL 34987-2188 - Phone
- (772) 301-6840
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC6467 | FL | Primary |
Addresses
Primary practice location
10720 SW Village Pkwy
Port Saint Lucie, FL 34987-2188
Mailing address
7680 NW Greenspring St
Port Saint Lucie, FL 34987-3051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6467 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba America's Best Contacts & Eyeglasses
- Optometrist
- Fort Pierce, FL
- NPI 1760230445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1841032406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7680 NW GREENSPRING ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349873051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10720 SW VILLAGE PKWY",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349872188",
"telephone_number": "772-301-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ADRIANNA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC6467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.