Individual provider Active NPI

Sandra Stroud, O.D.

  • Optometrist
  • Holiday, FL
National Provider Identifier
1922041458
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP0002767 Issued in FL
Practice address
2435 US Highway 19 Ste 100
Holiday, FL 34691-3942
Phone
(727) 937-6551
Fax
(727) 942-7200
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP0002767 FL Primary

Addresses

Primary practice location

2435 US Highway 19 Ste 100
Holiday, FL 34691-3942

Mailing address

2435 US Highway 19 Ste 100
Holiday, FL 34691-3942
Phone (727) 937-6551

Other identifiers 2

IdentifierTypeStateIssuer
620286101MedicaidFL
620286100MedicaidFL

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
I20250402002710 FL Practitioner - Optometry 4981600657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2435 US Hwy 19
Suite 100
Holiday, FL 34691-3942
Phone (727) 937-6551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP0002767FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Stroud OD PA Optometrist Current Accepting new patients
Stroud Eye Care, LLC Optometrist CurrentSince Mar 27, 2025 Accepting new patients
Optometric Associates of Florida, P.a. Optometrist Past Accepting new patients

Locations

2435 US Highway 19
Ste 100
Holiday, FL 34691
Phone (727) 937-6551

8864 State Road 52
Hudson, FL 34667
Phone (727) 819-0990

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1922041458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 US HIGHWAY 19 STE 100",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913942",
            "telephone_number": "727-937-6551",
            "fax_number": "727-942-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 US HIGHWAY 19 STE 100",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913942",
            "telephone_number": "727-937-6551",
            "fax_number": "727-942-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0002767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620286101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620286100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

Verify at the official NPI Registry.