Individual provider Active NPI

Adrian Al-Damari, O.D.

  • Optometrist
  • Winter Garden, FL
National Provider Identifier
1841606472
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6748 Issued in FL
Practice address
13275 W Colonial Dr
Winter Garden, FL 34787-3984
Phone
(407) 905-8827
Fax
(407) 660-1667
NPI assigned
Jul 2, 2014
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 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 OPC6748 FL Primary

Addresses

Primary practice location

13275 W Colonial Dr
Winter Garden, FL 34787-3984

Mailing address

110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141124001468 VA Practitioner - Optometry 6406178771 Reassigns benefits to 2 organizations
I20160211002413 DC Practitioner - Optometry 6406178771 Reassigns benefits to 1 organization
I20260515002960 FL Practitioner - Optometry 6406178771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Ridge Vision Center PLLCGroup PAC ID 8628144938, 4 clinicians

Practice addresses (Care Compare)

12444 Dillingham SQ
Lake Ridge, VA 22192-5258
Phone (703) 680-4323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6748FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
May & Hettler, O.D., PLLC Optometrist CurrentSince Dec 5, 2016 Accepting new patients
Lake Ridge Vision Center PLLC Optometrist CurrentSince Jan 31, 2022 Accepting new patients
May & Hettler, O.D., PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 18, 2014 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 18, 2014 Accepting new patients
May & Hettler, O.D., PLLC Optometrist CurrentSince Dec 5, 2016 Accepting new patients
Lake Ridge Vision Center, Inc Optometrist PastSince Jan 31, 2022 Accepting new patients

Locations

6098 Franconia Rd
Alexandria, VA 22310
Phone (703) 971-0544

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

1515 Stafford Market Pl
Ste 121
Stafford, VA 22556
Phone (540) 657-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

12444 Dillingham Sq
Woodbridge, VA 22192
Phone (703) 680-4323

Organizations & group practices 9

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1841606472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "407-660-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13275 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873984",
            "telephone_number": "407-905-8827",
            "fax_number": "407-660-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-DAMARI",
        "first_name": "ADRIAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.