Individual provider Active NPI

Anna Frances Kauderman, O.D.

  • Optometrist
  • Winter Haven, FL
National Provider Identifier
1851726384
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4832 Issued in FL
Practice address
215 1St St N Ste 100
Winter Haven, FL 33881-4507
Phone
(863) 299-8908
Fax
(863) 877-0443
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1938 SC
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT003123 GA
Optometrist 152W00000X OPC4832 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

3200 S University Dr
Terry Bldg. Suite 1402
Davie, FL 33328-2018
Phone (954) 262-1402

Other practice location 2

1620 Browning Rd
Columbia, SC 29210-6924
Phone (803) 732-4099

Other practice location 3

627 S Houston Lake Rd Ste 100
Warner Robins, GA 31088-9079
Phone (478) 322-0009

Other identifiers 1

IdentifierTypeStateIssuer
D19380MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, SC, GA, PA, CO6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20131118001655 FL Practitioner - Optometry 3274769492 Reassigns benefits to 2 organizations
I20141231002093 TX Practitioner - Optometry 3274769492 Reassigns benefits to 1 organization
I20160817002382 SC Practitioner - Optometry 3274769492
I20190114001047 GA Practitioner - Optometry 3274769492 Reassigns benefits to 1 organization
I20231220001658 PA Practitioner - Optometry 3274769492 Reassigns benefits to 1 organization
I20250310001274 CO Practitioner - Optometry 3274769492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

2304 Judson Rd
Suite B
Longview, TX 75605-4674
Phone (903) 758-9090

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

627 S Houston Lake Rd
Suite 100
Warner Robins, GA 31088-9079
Phone (478) 322-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4832FLMDOptometrist
OPT003123GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Nov 12, 2023 Accepting new patients
Myeyedr. Optometry of Pennsylvania, LLC Optometrist CurrentSince Nov 12, 2023 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Feb 20, 2025 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Feb 20, 2025 Accepting new patients
Nova Southeastern University Inc. CurrentSince Oct 14, 2013 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 17, 2023 Accepting new patients
Nova Southeastern University, Inc Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Oct 14, 2018 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 27, 2025 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 17, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Oct 14, 2018 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 27, 2025 Accepting new patients
Nova Southeastern University, Inc Optometrist CurrentSince Oct 14, 2013 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations (25 of 43)

2867 35th Ave
Greeley, CO 80634
Phone (970) 346-1411

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

3200 S University Dr
Ste 1402
Davie, FL 33328
Phone (954) 262-1402

840 N Stone St
Deland, FL 32720
Phone (386) 734-1766

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

9560 Crosshill Blvd
Ste 106
Jacksonville, FL 32222
Phone (904) 777-2927

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

819 NE 26th St
Wilton Manors, FL 33305
Phone (954) 390-7654

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

2610 Dawson Rd
Albany, GA 31707
Phone (229) 435-6776

3440 Wrightsboro Rd
Augusta, GA 30909
Phone (706) 733-0020

207 Chestnut St
Bremen, GA 30110
Phone (770) 537-5246

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

806 Dixie St
Carrollton, GA 30117
Phone (770) 834-2071

911 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 695-4676

4521 17th Ave
Columbus, GA 31904
Phone (706) 660-0191

2032 Veterans Blvd
Ste A
Dublin, GA 31021
Phone (478) 272-3445

3801 Northside Dr
Macon, GA 31210
Phone (478) 475-1600

503 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 860-8899

1601 Macon Rd
Perry, GA 31069
Phone (478) 218-0404

1014 Northside Dr E
Statesboro, GA 30458
Phone (912) 764-9147

15196 US Highway 19 S
Thomasville, GA 31757
Phone (229) 228-4770

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1851726384",
    "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",
            "fax_number": "571-223-6780"
        },
        {
            "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",
            "fax_number": "863-877-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 S University Dr",
            "address_2": "Terry Bldg. Suite 1402",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282018",
            "country_code": "US",
            "telephone_number": "954-262-1402",
            "fax_number": "954-262-3217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Browning Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292106924",
            "country_code": "US",
            "telephone_number": "803-732-4099",
            "fax_number": "803-798-0422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "627 S Houston Lake Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310889079",
            "country_code": "US",
            "telephone_number": "478-322-0009",
            "fax_number": "478-333-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUDERMAN",
        "first_name": "ANNA",
        "middle_name": "FRANCES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1938",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003123",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D19380",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.