Individual provider Active NPI

Adis Diaz, O.D.

  • Optometrist
  • Lutz, FL
National Provider Identifier
1912198151
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007172 Issued in NY
Practice address
2225 Sun Vista Dr
Lutz, FL 33559-6861
Phone
(813) 607-2730
Fax
(656) 223-2000
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007172 NY Primary
Optometrist 152W00000X OPC5689 FL

Addresses

Primary practice location

2225 Sun Vista Dr
Lutz, FL 33559-6861

Mailing address

PO Box 207151
Dallas, TX 75320-7151
Phone (636) 200-4393

Other practice location 1

18915 State Road 54 Ste A
Lutz, FL 33558-5268
Phone (813) 909-0554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080213000531 NY Practitioner - Optometry 8921181959 Reassigns benefits to 1 organization
I20200918001089 FL Practitioner - Optometry 8921181959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight and Sun Eyeworks LLCGroup PAC ID 0042362527, 27 clinicians

Practice addresses (Care Compare)

18915 State Rd
54 Suite a
Lutz, FL 33558-5268
Phone (813) 909-0554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007172NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Sep 16, 2020 Accepting new patients
South Shore Eye Care, LLP CurrentSince May 15, 2019 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Sep 16, 2020 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Sight and Sun Eyeworks LLC Optometrist Past Accepting new patients
CVS Albany LLC Past Accepting new patients

Locations

18915 State Road 54
Ste A
Lutz, FL 33558
Phone (813) 909-0554

2225 Sun Vista Dr
Lutz, FL 33559
Phone (813) 501-7996

1308 W Nine Mile Rd
Ste 1112
Pensacola, FL 32534
Phone (850) 479-2020

3875 US Highway 301 S
Ste 5
Riverview, FL 33578
Phone (813) 246-3186

13141 N Dale Mabry Hwy
Ste De
Tampa, FL 33618
Phone (813) 264-2769

5201 E Busch Blvd
Temple Terrace, FL 33617
Phone (813) 979-2929

2185 Wantagh Ave
Wantagh, NY 11793
Phone (516) 783-3900

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: adisdiaz@direct.eyecare-partners.com

Organizations & group practices 6

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1912198151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207151",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207151",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 SUN VISTA DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596861",
            "telephone_number": "813-607-2730",
            "fax_number": "656-223-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18915 State Road 54 Ste A",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335585268",
            "country_code": "US",
            "telephone_number": "813-909-0554",
            "fax_number": "813-909-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ADIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007172",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.