Active NPI
Anna Frances Kauderman, O.D.
- Optometrist
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4832
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1938 | SC | |
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D19380 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, SC, GA, PA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4832 | FL | MD | Optometrist |
| OPT003123 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr. Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Colorado PC | Optometrist | Current | 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 | Current | Accepting new patients |
| Nova Southeastern University Inc. | Current | Accepting new patients | |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Nova Southeastern University, Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Nova Southeastern University, Inc | Optometrist | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.