Active NPI
Adis Diaz, O.D.
- Optometrist
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007172
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007172 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sight and Sun Eyeworks LLC | Optometrist | Current | Accepting new patients |
| South Shore Eye Care, LLP | Current | Accepting new patients | |
| Sight and Sun Eyeworks LLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Pensacola, FL
- NPI 1932359106
-
- Ophthalmology Physician
- Wantagh, NY
- NPI 1700995602
-
- Optometrist
- Lakeland, FL
- NPI 1437817467
-
- Optometrist
- Gulf Breeze, FL
- NPI 1932386620
-
- Pharmacy
- Brooklyn, RI
- NPI 1679459481
-
- Optometrist
- Tempe, AZ
- NPI 1326472945
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.