Individual provider Active NPI

Adam A Anhalt, O.D.

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1851376453
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2468 Issued in FL
Practice address
2521 NW 41St St
Gainesville, FL 32606-6630
Phone
(352) 377-7733
Fax
(352) 377-9577
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2468 FL Primary

Addresses

Primary practice location

2521 NW 41St St
Gainesville, FL 32606-6630

Mailing address

2521 NW 41St St
Gainesville, FL 32606-6630
Phone (352) 377-7733

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
I20060103000709 FL Practitioner - Optometry 0941222087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Herlevich, OD and Krol, OD P.a.Group PAC ID 2062568256, 2 clinicians

Practice addresses (Care Compare)

4650 NW 39TH Place
Suite D
Gainesville, FL 32606-8157
Phone (352) 373-0000

Merit-based Incentive Payment System (MIPS)

Final score
92.55 of 100Reported as group
Quality
99.98
Improvement activities
40
Cost
75.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Herlevich, OD & Krol, OD P.a. Optometrist CurrentSince Sep 3, 2024 Accepting new patients
Newsom Eye & Laser Center, Inc. Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Newsom Eye & Laser Center Inc Optometrist CurrentSince Mar 4, 2024 Accepting new patients

Locations

2521 NW 41st St
Gainesville, FL 32606
Phone (352) 377-7733

4650 NW 39th Pl
Ste D
Gainesville, FL 32606
Phone (352) 373-0000

4211 US 27 N
Sebring, FL 33870
Phone (863) 385-1544

13904 N Dale Mabry Hwy
Ste 200
Tampa, FL 33618
Phone (813) 908-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1851376453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-377-7733",
            "fax_number": "352-377-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-377-7733",
            "fax_number": "352-377-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANHALT",
        "first_name": "ADAM",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.