Douglas Alan Wright, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4981 Issued in FL

Practice address

1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401

Phone

(904) 278-1760

Fax

(904) 278-1730

NPI assigned

Aug 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Dr. Ted Brink and Associates PAGroup PAC ID 6800936360, 12 clinicians

Island Eyecare PAGroup PAC ID 4183788839, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Ted Brink and Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1427138650
  Medicare reassignment Care Compare group NPD
• Island Eyecare PA

  • Optometrist
  • Fleming Island, FL
  • NPI 1649470766
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment NPD
• Dr.Ted Brink & Associates

  • Optometrist
  • Jacksonville, FL
  • NPI 1730402686
  NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Clearwater, FL
  • NPI 1730054594
  NPD
• Myeyedr. Optometry of Florida, LLC

  • Optometrist
  • Lakeland, FL
  • NPI 1285005215
  NPD
• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1871902437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BUSINESS CENTER DR STE 4",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034401",
            "telephone_number": "904-278-1760",
            "fax_number": "904-278-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BUSINESS CENTER DR STE 4",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034401",
            "telephone_number": "904-278-1760",
            "fax_number": "904-278-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Roosevelt Blvd # 987",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322121192",
            "country_code": "US",
            "telephone_number": "904-661-4696",
            "fax_number": "904-431-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT2836",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Wollenzin
• Women'S Care Florida LLC
• Women'S Care Florida LLC
• Justin Charles Woods
• Amorie Brooke Wright, APRN
• Miranda Denise Wright, DMD
• Robert D Yarbrough
• Connie Lynn Yoerges, LCSW
• Ahmad Toufic Younes, M.D.
• Leanna Young

• Optometrist in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.

Verify at the official NPI Registry.