Active NPI
Myeyedr. Optometry of Florida, LLC
Doing business as MyEyeDr.
- Optometrist
- Clermont, FL
National Provider Identifier
1922479955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR. OPTOMETRY OF FLORIDA, LLC
- Doing business as
- MyEyeDr.
- Practice address
- 3140 Citrus Tower Blvd
BLDG 11 Ste B
Clermont, FL 34711-6888 - Phone
- (352) 243-2121
- NPI assigned
- Oct 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3140 Citrus Tower Blvd
BLDG 11 Ste B
Clermont, FL 34711-6888
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150603002802 | FL | Part B Supplier - Clinic/Group Practice | 0143541037 |
Receives reassigned benefits from 306 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
2305 Oleander Blvd
Fort Pierce, FL 34982
Phone (772) 465-6616
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Ocala, FL
- NPI 1437262953
-
- Optometrist
- Plant City, FL
- NPI 1962841072
-
- Optometrist
- Tallahassee, FL
- NPI 1467761544
-
- Optometrist
- Miami, FL
- NPI 1023301280
-
- Optometrist
- Lakeland, FL
- NPI 1295722908
-
- Optometrist
- Clermont, FL
- NPI 1164803896
-
- Optometrist
- Plant City, FL
- NPI 1275765265
-
- Optometrist
- Brush Prairie, WA
- NPI 1386953461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1922479955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 CITRUS TOWER BLVD",
"address_2": "BLDG 11 STE B",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116888",
"telephone_number": "352-243-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR. OPTOMETRY OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-16",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.