Myeyedr. Optometry of Florida, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR. OPTOMETRY OF FLORIDA, LLC

Practice address

4337 S Florida Ave
Lakeland, FL 33813-1654

Phone

(863) 619-2700

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• MyEyeDr. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalia Malaret, OD

  • Optometrist
  • Palm Springs, FL
  • NPI 1790209666
  NPD
• Stephanie Dodd Minerella, OD

  • Optometrist
  • Lakeland, FL
  • NPI 1528684453
  NPD
• Thuy-Nga Nguyen

  • Optometrist
  • Sebring, FL
  • NPI 1558746511
  NPD
• Jeanine Elizabeth Graves, OD

  • Optometrist
  • Paramus, NJ
  • NPI 1205998234
  NPD
• Anita Saxena, O.D.

  • Optometrist
  • Vestavia Hills, AL
  • NPI 1053429365
  NPD

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1851762884",
    "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": "571-233-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131654",
            "telephone_number": "863-619-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR. OPTOMETRY OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Myers, APRN
• Sheree Ann Myers
• Viviana Paola Myers, PHARMD
• Myeyedr. Optometry of Florida, LLC
• Myeyedr. Optometry of Florida, LLC
• Zaw Myint, MD
• Charley T. Myrick III, D. O.
• Sabrina Myrtil
• Ettinas Temwa Mzumara, ARNP-C
• Cassandra A. Nabalta, MS, OTR L

• All providers in Lakeland, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.