Individual provider Active NPI

Stephen E Chambers, O.D.

  • Optometrist
  • Winter Haven, FL
National Provider Identifier
1851671739
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6613 Issued in FL
Practice address
215 1St St N Ste 100
Winter Haven, FL 33881-4507
Phone
(863) 299-8908
NPI assigned
Aug 23, 2011
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007779 NY
Optometrist 152W00000X OPT003143 GA
Optometrist 152W00000X OPC6613 FL Primary

Addresses

Primary practice location

215 1St St N Ste 100
Winter Haven, FL 33881-4507

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

2209 Memorial Dr
Waycross, GA 31501-0902
Phone (912) 285-2021

Other practice location 2

217 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 345-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190702002928 GA Practitioner - Optometry 8921257387 Reassigns benefits to 2 organizations
I20250418001420 FL Practitioner - Optometry 8921257387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6613FLMDOptometrist
OPT003143GAMDOptometrist
TUV007779NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Feb 18, 2020 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Feb 18, 2020 Accepting new patients
Mark Lynn OD & Associates, PC Optometrist CurrentSince Apr 20, 2019 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Mark Lynn O.D. & Associates, PC CurrentSince Apr 20, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince May 1, 2025 Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince May 1, 2025 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 893-4005

215 1st St N
Ste 100
Winter Haven, FL 33881
Phone (863) 299-8908

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

217 Riverstone Dr
Canton, GA 30114
Phone (770) 345-5220

123 W Main St
#A
Cartersville, GA 30120
Phone (470) 888-2044

2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050

2209 Memorial Dr
Waycross, GA 31501
Phone (912) 285-2021

12924 Highway 92
Ste 100
Woodstock, GA 30188
Phone (678) 717-9121

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1851671739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 1ST ST N STE 100",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814507",
            "telephone_number": "863-299-8908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315010902",
            "country_code": "US",
            "telephone_number": "912-285-2021",
            "fax_number": "912-285-2558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Riverstone Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301145256",
            "country_code": "US",
            "telephone_number": "770-345-5220",
            "fax_number": "770-479-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007779",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003143",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.