Individual provider Active NPI

Marian Iskander, OD

  • Optometrist
  • Orlando, FL
National Provider Identifier
1881475341
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6367 Issued in FL
Practice address
6776 Eagle Watch Dr
Orlando, FL 32822-2355
Phone
(407) 768-6916
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6367 FL Primary

Addresses

Primary practice location

6776 Eagle Watch Dr
Orlando, FL 32822-2355

Mailing address

6776 Eagle Watch Dr
Orlando, FL 32822-2355

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251121000024 FL Practitioner - Optometry 4880186642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

403 Vonderburg Dr
Brandon, FL 33511-5501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6367FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Dec 1, 2025 Accepting new patients
National Vision Inc Optometrist CurrentSince Oct 15, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist Past Accepting new patients

Locations

403 Vonderburg Dr
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

135 W Robertson St
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

6776 Eagle Watch Dr
Orlando, FL 32822
Phone (407) 768-6916

6152 Delancey Station St
Ste 101
Riverview, FL 33578
Phone (813) 643-7300

6152 Delancey Station St
Riverview, FL 33578
Phone (813) 693-6955

612 N US Highway 41
Fl Eye
Ruskin, FL 33570
Phone (813) 645-3831

1701 Rickenbacker Dr
Ste 102
Sun City Center, FL 33573
Phone (813) 634-8877

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1881475341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 EAGLE WATCH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 EAGLE WATCH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222355",
            "telephone_number": "407-768-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDER",
        "first_name": "MARIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.